63Rd Advanced Health Clinic Inc

LBN: 63Rd Advanced Health Clinic Inc
63Rd Advanced Health Clinic Inc is an health care organization with primary practice located at 1249 W 63Rd St , Chicago IL 60636-1947. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. 63Rd Advanced Health Clinic Inc can be contacted via phone (847) 904-7500, or through Chaika, Alesia via phone (847) 904-7500.

Contact Information

Primary practice address
1249 W 63Rd St Chicago IL 60636-1947
Phone: (847) 904-7500
Fax: (847) 904-7502
Website:
Map and Directions
Authorized official contact:
Name: Chaika, Alesia
Phone: (847) 904-7500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X

Profile Details

NPI number 1548492234
LBN Legal business name 63Rd Advanced Health Clinic Inc
DBA Doing business as
Authorized official Chaika, Alesia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2009
Last updated Aug 14th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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