- Practice location
- 3918 W 63RD St, Chicago, IL 60629-4604
- Phone
- 773-284-9660
- Fax
- 773-284-9676
- Last updated
- March 8, 2017
63RD Medical & Surgical Center, LLC is a healthcare organization based in Chicago, IL. 63RD Medical & Surgical Center, LLC practices in Chicago, IL. The NPI Number for 63RD Medical & Surgical Center, LLC is 1912447442. The current practice location address for 63RD Medical & Surgical Center, LLC is 3918 W 63RD St, Chicago, IL 60629-4604 and can be reached out via phone at 773-284-9660 and via fax at 773-284-9676.
Provider Profile Details
- NPI Number
- 1912447442
- Provider Name
- 63RD Medical & Surgical Center, LLC
- Provider Entity Type
- Organization
- Address
- 3918 W 63RD St, Chicago, IL 60629-4604
- Phone Number
- 773-284-9660
- Fax Number
- 773-284-9676
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Ayoub Sayeg, MD · Medical Director · 773-284-9660
- Provider Enumeration Date
- March 2, 2017
- Last Update Date
- March 8, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3918 W 63RD St
Chicago, IL 60629-4604 - City
- Chicago
- State
- Illinois
- Zip
- 60629-4604
- Phone Number
- 773-284-9660
- Fax Number
- 773-284-9676
Provider Business Mailing Address Details
- Address
- Po Box 11232
Chicago, IL 60611-0232 - City
- Chicago
- State
- IL
- Zip
- 60611-0232
- Phone Number
- 773-284-9660
- Fax Number
- 773-284-9676
License Information
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · 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 Medical & Surgical Center, LLC?
The NPI number of 63RD Medical & Surgical Center, LLC is 1912447442. It was assigned on March 2, 2017 and is currently active in the NPPES registry.
What is the specialty of 63RD Medical & Surgical Center, LLC?
63RD Medical & Surgical Center, LLC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X).
Where does 63RD Medical & Surgical Center, LLC practice?
The practice location is 3918 W 63RD St, Chicago, IL 60629-4604. The office can be reached at 773-284-9660 (phone) or 773-284-9676 (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 1912447442 directly on the NPPES registry website.