Portage Park Satellite Senior Center in Chicago - Clinic/center
Portage Park Satellite Senior Center - NPI 1366610206
Portage Park Satellite Senior Center is a Clinic/center in Chicago, Illinois. Portage Park Satellite Senior Center practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Portage Park Satellite Senior Center is 1366610206. The last update date is 2008-02-13.
Portage Park Satellite Senior Center's current location address is 4100 N Long Ave, Chicago, Illinois. You can contact this provider via phone number 3127449022. The mailing address for Portage Park Satellite Senior Center is 4100 N Long Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portage Park Satellite Senior Center |
|---|---|
| Address | 4100 N Long Ave, Chicago, Illinois |
| Phone Number | 3127449022 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEPUTY COM |
|---|---|
| Authorized Official Name | Ivers Greta |
| Credentials | MD, MPH |
| Telephone Number | 3127440890 |
NPI Number Detail
| NPI Number | 1366610206 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | 4100 N Long Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606411346 |
| Phone Number | 3127449022 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Portage Park Satellite Senior Center by the Centers for Medicare & Medicaid Services?
The Portage Park Satellite Senior Center has been assigned the NPI (National Provider Identifier) 1366610206 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Portage Park Satellite Senior Center?
The Portage Park Satellite Senior Center is physically situated at 4100 N Long Ave, in the city of Chicago, state of IL, with the postal code 606411346.
What is the Portage Park Satellite Senior Center's area of specialization and corresponding taxonomy classification?
The Portage Park Satellite Senior Center's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1366610206 to Portage Park Satellite Senior Center?
The Centers for Medicare & Medicaid Services assigned the 1366610206 to Portage Park Satellite Senior Center on 2008-02-13.
As of what date were the details related to Portage Park Satellite Senior Center most recently updated or revised?
The information pertaining to Portage Park Satellite Senior Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-13.