Northwest Ambucare in Chicago - Podiatric
Northwest Ambucare - NPI 1811965635
Northwest Ambucare is a Podiatric in Chicago, Illinois. Northwest Ambucare practices all healthcare services and medical treatments related to Podiatric. The NPI Number for Northwest Ambucare is 1811965635. The last update date is 2020-08-22.
Northwest Ambucare's current location address is 4040 W Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 7732670554 and fax number 7732676258. The mailing address for Northwest Ambucare is 4040 W Peterson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Ambucare |
|---|---|
| Address | 4040 W Peterson Ave, Chicago, Illinois |
| Phone Number | 7732670554 |
| Fax Number | 7732676258 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thimesch Augustine Tegan |
| Credentials | DPM |
| Telephone Number | 7732670554 |
NPI Number Detail
| NPI Number | 1811965635 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4040 W Peterson Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606466019 |
| Phone Number | 7732670554 |
| Fax Number | 7732676258 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
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Definition: Provides conservative and surgical foot and ankle care. |
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What is the unique identification code assigned to Northwest Ambucare by the Centers for Medicare & Medicaid Services?
The Northwest Ambucare has been issued the NPI (National Provider Identifier) 1811965635. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Northwest Ambucare's facilities are situated?
The facilities of Northwest Ambucare are physically located at the following address: 4040 W Peterson Ave, Chicago, IL, 606466019.
What is Northwest Ambucare's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northwest Ambucare's specialized field of practice is Podiatric, and the corresponding taxonomy code that categorizes this area of specialization is 261Qp1100X.
On what date did the Northwest Ambucare receive the assignment of its 1811965635 from the Centers for Medicare & Medicaid Services?
The Northwest Ambucare was issued its 1811965635 by the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the Northwest Ambucare's information last updated?
The Northwest Ambucare's information was last updated on 2020-08-22.
NPI Number: 1063415297
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