- Practice location
- 3814 W 26TH St, Chicago, IL 60623-3807
- Phone
- 773-522-5200
- Fax
- 773-522-5356
- Last updated
- March 19, 2008
26TH Street Medical, S.c. is a healthcare organization based in Chicago, IL. 26TH Street Medical, S.c. practices in Chicago, IL. The NPI Number for 26TH Street Medical, S.c. is 1053518720 and holds a License No. 036040997 (IL). The current practice location address for 26TH Street Medical, S.c. is 3814 W 26TH St, Chicago, IL 60623-3807 and can be reached out via phone at 773-522-5200 and via fax at 773-522-5356.
Provider Profile Details
- NPI Number
- 1053518720
- Provider Name
- 26TH Street Medical, S.c.
- Provider Entity Type
- Organization
- Address
- 3814 W 26TH St, Chicago, IL 60623-3807
- Phone Number
- 773-522-5200
- Fax Number
- 773-522-5356
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Anna Saucedo, BS · Office Administrator · 773-522-5200
- Provider Enumeration Date
- June 27, 2007
- Last Update Date
- March 19, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3814 W 26TH St
Chicago, IL 60623-3807 - City
- Chicago
- State
- Illinois
- Zip
- 60623-3807
- Phone Number
- 773-522-5200
- Fax Number
- 773-522-5356
Provider Business Mailing Address Details
- Address
- 3814 W 26TH St
Chicago, IL 60623-3807 - City
- Chicago
- State
- IL
- Zip
- 60623-3807
- Phone Number
- 773-522-5200
- Fax Number
- 773-522-5356
License Information
- License Number
- 036040997
- License State
- IL
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 26TH Street Medical, S.c.?
The NPI number of 26TH Street Medical, S.c. is 1053518720. It was assigned on June 27, 2007 and is currently active in the NPPES registry.
What is the specialty of 26TH Street Medical, S.c.?
26TH Street Medical, S.c. is registered under the primary taxonomy Specialist (code 174400000X), licensed in IL under license number 036040997.
Where does 26TH Street Medical, S.c. practice?
The practice location is 3814 W 26TH St, Chicago, IL 60623-3807. The office can be reached at 773-522-5200 (phone) or 773-522-5356 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053518720 directly on the NPPES registry website.