Metro Physicians & Specialists

LBN: Metro Physicians & Specialists
Metro Physicians & Specialists is an health care organization with primary practice located at 2810 W Fullerton Ave , Chicago IL 60647-2915. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Metro Physicians & Specialists can be contacted via phone (773) 342-8887, or through Gaddam, Eliyazar via phone (630) 718-0200.

Contact Information

Primary practice address
2810 W Fullerton Ave Chicago IL 60647-2915
Fax: (773) 342-6257
Website:
Authorized official contact:
Name: Gaddam, Eliyazar

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1699723403
LBN Legal business name Metro Physicians & Specialists
DBA Doing business as
Authorized official Gaddam, Eliyazar
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Aug 24th, 2007 - about 18 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 1699723403 NPPES
Illinois Other 1621199 BLUE CROSS / BLUE SHIELD

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