Chicago Monticello Medical Ctr in Chicago - Non-pharmacy Dispensing Site
Chicago Monticello Medical Ctr - NPI 1447265053
Chicago Monticello Medical Ctr is a Non-pharmacy Dispensing Site in Chicago, Illinois. Chicago Monticello Medical Ctr practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Chicago Monticello Medical Ctr is 1447265053. The last update date is 2007-11-19.
Chicago Monticello Medical Ctr's current location address is 3623 W Chicago Ave, Chicago, Illinois. You can contact this provider via phone number 7737226171 and fax number 7737227913. The mailing address for Chicago Monticello Medical Ctr is 3623 W Chicago Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chicago Monticello Medical Ctr |
|---|---|
| Address | 3623 W Chicago Ave, Chicago, Illinois |
| Phone Number | 7737226171 |
| Fax Number | 7737227913 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Earley Michael |
| Telephone Number | 7737226171 |
NPI Number Detail
| NPI Number | 1447265053 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2007-11-19 |
Provider Mailing Address Detail
| Address | 3623 W Chicago Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606513934 |
| Phone Number | 7737226171 |
| Fax Number | 7737227913 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1478723 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 1478723 | OTHER ID NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Chicago Monticello Medical Ctr by the Centers for Medicare & Medicaid Services?
The Chicago Monticello Medical Ctr has been assigned the NPI (National Provider Identifier) 1447265053. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Chicago Monticello Medical Ctr located?
The Chicago Monticello Medical Ctr is located at 3623 W Chicago Ave, Chicago, IL 606513934.
What is the Chicago Monticello Medical Ctr's area of specialization and corresponding taxonomy classification?
The Chicago Monticello Medical Ctr's specialty field is Non-pharmacy Dispensing Site, and it falls under the taxonomy code 332900000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1447265053 to Chicago Monticello Medical Ctr?
The Centers for Medicare & Medicaid Services assigned the 1447265053 to Chicago Monticello Medical Ctr on 2006-07-30.
When was the information regarding Chicago Monticello Medical Ctr, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Chicago Monticello Medical Ctr, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-19.
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