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:
Map and Directions
Authorized official contact:
Name: Senno, Aref Doctor of Medicine (MD)
Phone: (773) 508-9800

Health care specialties

SpecialtyCodeLicense #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 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 1720096969 NPPES
Other 01616720 BCBS

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