Michael W Early Md

LBN: Chicago Monticello Medical Ctr
Michael W Early Md is an health care organization with primary practice located at 3623 W Chicago Ave , Chicago IL 60651-3934. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Chicago Monticello Medical Ctr can be contacted via phone (773) 722-6171, or through Earley, Michael via phone (773) 722-6171.

Contact Information

Primary practice address
3623 W Chicago Ave Chicago IL 60651-3934
Phone: (773) 722-6171
Fax: (773) 722-7913
Website:
Map and Directions
Authorized official contact:
Name: Earley, Michael
Phone: (773) 722-6171

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X Illinois

Profile Details

NPI number 1447265053
LBN Legal business name Chicago Monticello Medical Ctr
DBA Doing business as Michael W Early Md
Authorized official Earley, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 19th, 2007 - about 17 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 1447265053 NPPES
Other 1478723 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 1478723 OTHER ID NUMBER-COMMERCIAL NUMBER

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