- Practice location
- 4200 North Oak Park Avenue, Chicago, IL 60634-1417
- Phone
- 773-794-3733
- Fax
- 773-794-4046
- Last updated
- February 13, 2008
395061 Med Eval is a healthcare organization based in Chicago, IL. 395061 Med Eval practices in Chicago, IL. The NPI Number for 395061 Med Eval is 1508034414. The current practice location address for 395061 Med Eval is 4200 North Oak Park Avenue, Chicago, IL 60634-1417 and can be reached out via phone at 773-794-3733 and via fax at 773-794-4046.
Provider Profile Details
- NPI Number
- 1508034414
- Provider Name
- 395061 Med Eval
- Provider Entity Type
- Organization
- Address
- 4200 North Oak Park Avenue, Chicago, IL 60634-1417
- Phone Number
- 773-794-3733
- Fax Number
- 773-794-4046
- Primary Taxonomy
- Psychiatric Unit · 273R00000X
- Organization Subpart
- Yes
- Parent Organization
- Idhs Chicago-Read Mental Health Center
- Authorized Official
- Ms. Angie C Tansor · Reimbursement Officer I · 773-794-3733
- Provider Enumeration Date
- February 13, 2008
- Last Update Date
- February 13, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4200 North Oak Park Avenue
Chicago, IL 60634-1417 - City
- Chicago
- State
- Illinois
- Zip
- 60634-1417
- Phone Number
- 773-794-3733
- Fax Number
- 773-794-4046
Provider Business Mailing Address Details
- Address
- 4200 North Oak Park Avenue
Chicago, IL 60634-1417 - City
- Chicago
- State
- IL
- Zip
- 60634-1417
- Phone Number
- 773-794-3733
- Fax Number
- 773-794-4046
License Information
- Taxonomy
- Psychiatric Unit · 273R00000X · 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 395061 Med Eval?
The NPI number of 395061 Med Eval is 1508034414. It was assigned on February 13, 2008 and is currently active in the NPPES registry.
What is the specialty of 395061 Med Eval?
395061 Med Eval is registered under the primary taxonomy Psychiatric Unit (code 273R00000X).
Where does 395061 Med Eval practice?
The practice location is 4200 North Oak Park Avenue, Chicago, IL 60634-1417. The office can be reached at 773-794-3733 (phone) or 773-794-4046 (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 1508034414 directly on the NPPES registry website.