Medici Healthcare Providers S.C

LBN: Medici Healthcare Providers S.C
Medici Healthcare Providers S.C is an health care organization with primary practice located at 2381 N Milwaukee Ave , Chicago IL 60647-2924. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Medici Healthcare Providers S.C can be contacted via phone (773) 227-2687, or through Consalter, Mauricio via phone (312) 550-2148.

Contact Information

Primary practice address
2381 N Milwaukee Ave Chicago IL 60647-2924
Phone: (773) 227-2687
Fax: (312) 288-0164
Website:
Map and Directions
Authorized official contact:
Name: Consalter, Mauricio Doctor of Medicine (MD)
Phone: (312) 550-2148

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1336267467
LBN Legal business name Medici Healthcare Providers S.C
DBA Doing business as
Authorized official Consalter, Mauricio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Dec 22nd, 2021 - about 3 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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