Northern Illinois Emergency & Occp Med Spec in Melrose Park - Emergency Care

Northern Illinois Emergency & Occp Med Spec - NPI 1881763449

Northern Illinois Emergency & Occp Med Spec is a Emergency Care in Melrose Park, Illinois. Northern Illinois Emergency & Occp Med Spec practices all healthcare services and medical treatments related to Emergency Care. The NPI Number for Northern Illinois Emergency & Occp Med Spec is 1881763449. The last update date is 2020-08-22.

Northern Illinois Emergency & Occp Med Spec's current location address is 701 W North Ave, Melrose Park, Illinois. You can contact this provider via phone number 7086813200 and fax number 7086815228. The mailing address for Northern Illinois Emergency & Occp Med Spec is 701 W North Ave, Melrose Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northern Illinois Emergency & Occp Med Spec
Address 701 W North Ave, Melrose Park, Illinois
Phone Number 7086813200
Fax Number 7086815228
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Giacinto Henry
Credentials M.D.
Telephone Number 7084607444

NPI Number Detail

NPI Number 1881763449
Provider Enumeration Date 2006-11-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 701 W North Ave
City Melrose Park
State Illinois (IL)
Post Code 601601612
Phone Number 7086813200
Fax Number 7086815228

Provider's Primary Taxonomy Detail

Speciality Emergency Care
Taxonomy 261Qe0002X
Definition:
Treats injuries, sudden illnesses, and other urgent health conditions without an appointment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1623845 IL BLUE CROSS & BLUE SHEILD

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FAQs about Northern Illinois Emergency & Occp Med Spec

What is the unique provider identifier assigned to Northern Illinois Emergency & Occp Med Spec?

The Northern Illinois Emergency & Occp Med Spec has been issued the NPI (National Provider Identifier) 1881763449 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Northern Illinois Emergency & Occp Med Spec?

The Northern Illinois Emergency & Occp Med Spec is physically situated at 701 W North Ave, in the city of Melrose Park, state of IL, with the postal code 601601612.

What is the area of specialization for Northern Illinois Emergency & Occp Med Spec, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Northern Illinois Emergency & Occp Med Spec is Emergency Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0002X.

On what date did Northern Illinois Emergency & Occp Med Spec receive its 1881763449 assignment from the Centers for Medicare & Medicaid Services?

The Northern Illinois Emergency & Occp Med Spec was assigned its 1881763449 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Northern Illinois Emergency & Occp Med Spec's information last updated?

The Northern Illinois Emergency & Occp Med Spec's information was last updated on 2020-08-22.

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