Diversey Medical Center Sc
LBN: Diversey Medical Center Sc
Diversey Medical Center Sc is an health care organization with primary practice located at 2320 W Peterson Avenue , Chicago IL 60659-5242. The organization recently has 8 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Diversey Medical Center Sc can be contacted via phone (773) 508-9800, or through Senno, Aref via phone (773) 508-9800.
Contact Information
Primary practice address
2320 W Peterson Avenue
Chicago IL 60659-5242
Phone: (773) 508-9800
Fax: (773) 508-1796
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | ||
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ||
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
NPI number | 1720096969 |
---|---|
LBN Legal business name | Diversey Medical Center Sc |
DBA Doing business as | |
Authorized official | Senno, Aref Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 4th, 2006 |
Last updated | Apr 20th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720096969 | NPPES |
Other | 01616720 | BCBS |
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