Ricardo Jose Nieves

LBN: Ricardo Jose Nieves
Ricardo Jose Nieves is an health care organization with primary practice located at 1044 N Francisco Ave , Chicago IL 60622-2743. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Ricardo Jose Nieves can be contacted via phone (773) 292-8254, or through Goudy, Mari via phone (773) 292-8254.

Contact Information

Primary practice address
1044 N Francisco Ave Chicago IL 60622-2743
Phone: (773) 292-8254
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goudy, Mari
Phone: (773) 292-8254

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036089692 Illinois

Profile Details

NPI number 1912456195
LBN Legal business name Ricardo Jose Nieves
DBA Doing business as
Authorized official Goudy, Mari
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2016
Last updated Oct 11th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912456195 NPPES
Illinois MEDICAID 036089692
Illinois Other 1912456195

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