Prism Medical Center Of Il Nfp

LBN: Prism Medical Center Of Il Nfp
Prism Medical Center Of Il Nfp is an health care organization with primary practice located at 6346 N Talman Ave Ste # 102, Chicago IL 60659-1898. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Prism Medical Center Of Il Nfp can be contacted via phone (773) 262-1300, or through Saudye, Mohammad A via phone (773) 262-1300.

Contact Information

Primary practice address
6346 N Talman Ave Ste # 102 Chicago IL 60659-1898
Phone: (773) 262-1300
Fax: (773) 262-1184
Website:
Map and Directions
Authorized official contact:
Name: Saudye, Mohammad A Doctor of Medicine (MD)
Phone: (773) 262-1300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1023101086
LBN Legal business name Prism Medical Center Of Il Nfp
DBA Doing business as
Authorized official Saudye, Mohammad A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1023101086 NPPES
Illinois Other 01633175 BCBS

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