Interamerican Clinical Services

LBN: Interamerican Clinical Services
Interamerican Clinical Services is an health care organization with primary practice located at 2651 W Division St 1St Floor, Chicago IL 60622. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Interamerican Clinical Services can be contacted via phone (773) 252-1147, or through Castellanos, Ana E via phone (773) 252-1147.

Contact Information

Primary practice address
2651 W Division St 1St Floor Chicago IL 60622
Phone: (773) 252-1147
Fax: (773) 252-5938
Website:
Map and Directions
Authorized official contact:
Name: Castellanos, Ana E
Phone: (773) 252-1147

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 55812 Illinois

Profile Details

NPI number 1063560738
LBN Legal business name Interamerican Clinical Services
DBA Doing business as
Authorized official Castellanos, Ana E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1063560738 NPPES
Illinois MEDICAID 21621949

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