Northwest Ambucare

LBN: Northwest Ambucare
Northwest Ambucare is an health care organization with primary practice located at 4040 W Peterson Ave , Chicago IL 60646-6019. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Northwest Ambucare can be contacted via phone (773) 267-0554, or through Thimesch, Tegan Augustine via phone (773) 267-0554.

Contact Information

Primary practice address
4040 W Peterson Ave Chicago IL 60646-6019
Fax: (773) 267-6258
Website:
Authorized official contact:
Name: Thimesch, Tegan Augustine Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1811965635
LBN Legal business name Northwest Ambucare
DBA Doing business as
Authorized official Thimesch, Tegan Augustine Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2006
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.

Request for update

Popular Providers