Jefferson Park Medical Center in Chicago - Medical Specialty
Jefferson Park Medical Center - NPI 1194934208
Jefferson Park Medical Center is a Medical Specialty in Chicago, Illinois. Jefferson Park Medical Center practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Jefferson Park Medical Center is 1194934208. The last update date is 2008-07-10.
Jefferson Park Medical Center's current location address is 4955 N Milwaukee Ave, Chicago, Illinois. You can contact this provider via phone number 6302098405 and fax number 7737361403. The mailing address for Jefferson Park Medical Center is 4955 N Milwaukee Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Park Medical Center |
|---|---|
| Address | 4955 N Milwaukee Ave, Chicago, Illinois |
| Phone Number | 6302098405 |
| Fax Number | 7737361403 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPERATIONS |
|---|---|
| Authorized Official Name | Chatelain Pierre |
| Telephone Number | 6302098405 |
NPI Number Detail
| NPI Number | 1194934208 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 4955 N Milwaukee Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606302286 |
| Phone Number | 6302098405 |
| Fax Number | 7737361403 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36046595 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jefferson Park Medical Center?
The Jefferson Park Medical Center has been issued the NPI (National Provider Identifier) 1194934208 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jefferson Park Medical Center is located?
The Jefferson Park Medical Center is situated at the following address: 4955 N Milwaukee Ave, Chicago, IL, 606302286.
What is the Jefferson Park Medical Center's area of specialization and corresponding taxonomy classification?
The Jefferson Park Medical Center's specialty field is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their specialties.
On what date was the 1194934208 assigned to Jefferson Park Medical Center?
The Jefferson Park Medical Center was issued its 1194934208 on 2007-05-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jefferson Park Medical Center's details last updated?
The information pertaining to the Jefferson Park Medical Center, including its address, specialty, and other details, was most recently updated on 2008-07-10.