- Practice location
- 1249 W 63RD St, Chicago, IL 60636-1947
- Phone
- 847-904-7500
- Fax
- 847-904-7502
- Last updated
- August 14, 2009
63RD Advanced Health Clinic INC is a healthcare organization based in Chicago, IL. 63RD Advanced Health Clinic INC practices in Chicago, IL. The NPI Number for 63RD Advanced Health Clinic INC is 1548492234. The current practice location address for 63RD Advanced Health Clinic INC is 1249 W 63RD St, Chicago, IL 60636-1947 and can be reached out via phone at 847-904-7500 and via fax at 847-904-7502.
Provider Profile Details
- NPI Number
- 1548492234
- Provider Name
- 63RD Advanced Health Clinic INC
- Provider Entity Type
- Organization
- Address
- 1249 W 63RD St, Chicago, IL 60636-1947
- Phone Number
- 847-904-7500
- Fax Number
- 847-904-7502
- Primary Taxonomy
- Family Medicine, Adolescent Medicine · 207QA0000X
- Organization Subpart
- No
- Authorized Official
- Alesia Chaika · Owner · 847-904-7500
- Provider Enumeration Date
- August 14, 2009
- Last Update Date
- August 14, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1249 W 63RD St
Chicago, IL 60636-1947 - City
- Chicago
- State
- Illinois
- Zip
- 60636-1947
- Phone Number
- 847-904-7500
- Fax Number
- 847-904-7502
Provider Business Mailing Address Details
- Address
- 1249 W 63RD St
Chicago, IL 60636-1947 - City
- Chicago
- State
- IL
- Zip
- 60636-1947
- Phone Number
- 847-904-7500
- Fax Number
- 847-904-7502
License Information
- Taxonomy
- Family Medicine, Adolescent Medicine · 207QA0000X · 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 63RD Advanced Health Clinic INC?
The NPI number of 63RD Advanced Health Clinic INC is 1548492234. It was assigned on August 14, 2009 and is currently active in the NPPES registry.
What is the specialty of 63RD Advanced Health Clinic INC?
63RD Advanced Health Clinic INC is registered under the primary taxonomy Family Medicine, Adolescent Medicine (code 207QA0000X).
Where does 63RD Advanced Health Clinic INC practice?
The practice location is 1249 W 63RD St, Chicago, IL 60636-1947. The office can be reached at 847-904-7500 (phone) or 847-904-7502 (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 1548492234 directly on the NPPES registry website.