Creticos Id Associates Sc

LBN: Creticos Id Associates Sc
Creticos Id Associates Sc is an health care organization with primary practice located at 836 W Wellington Ave , Chicago IL 60657-5147. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Creticos Id Associates Sc can be contacted via phone (773) 296-7039, or through Creticos, Catherine M via phone (773) 296-7039.

Contact Information

Primary practice address
836 W Wellington Ave Chicago IL 60657-5147
Phone: (773) 296-7039
Fax: (773) 296-7909
Website:
Map and Directions
Authorized official contact:
Name: Creticos, Catherine M Doctor of Medicine (MD)
Phone: (773) 296-7039

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1538105390
LBN Legal business name Creticos Id Associates Sc
DBA Doing business as
Authorized official Creticos, Catherine M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Apr 22nd, 2008 - 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 1538105390 NPPES
Illinois Other DE8857 RAILROAD MEDICARE
Illinois Other 141016 RAILROAD MEDICARE
Illinois Other 01635822 RAILROAD MEDICARE

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