ENCINAS MEDICAL CENTER


Address: 4614 S Ashland Ave, Chicago, IL 60609-3251
Phone: 7738882560

ENCINAS MEDICAL CENTER (NPI# 1487058731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487058731
Entity Type Organization
Organization Name ENCINAS MEDICAL CENTER
Practice Address 4614 S Ashland Ave
Chicago
IL 60609-3251
Mailing Address 3926 W Touhy Ave
Suite 332
Lincolnwood
IL 60712-1028
Practice Telephone 7738882560
Practice Fax Number 7733452560
Mailing Telephone 7738882560
Mailing Fax Number 7733452560
Enumeration Date 2014-10-15
Last Update Date 2014-10-15
Authorized Official Name DR. ALVARO ENCINAS (MEDICAL DIRECTOR)
Authorized Official Telephone 7738882560
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
042-620315 IL Ambulatory Health Care Facilities

Office Location

Street Address 4614 S ASHLAND AVE
City CHICAGO
State IL
Zip Code 60609-3251

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1497765168 Judith H Mcdevitt Nurse Practitioner 734 W. 47th Street, Ihc South, Chicago, IL 60609 2006-08-08
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1033760780 Careatc Clinic/Center 600 S Michigan Ave # 402, Chicago, IL 60605-1900 2019-09-24
1356814503 Thompson Medical Incorporated Clinic/Center 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 2019-01-09
1497251037 Thomas L Pitts, Md LLC Clinic/Center 233 E Erie St Ste 702, Chicago, IL 60611-5933 2018-04-03
1407209208 Mount Sinai Hospital Medical Center Clinic/Center 1501 S California Ave # L1026, Chicago, IL 60608-1732 2016-07-16
1366872061 Lawndale Christian Health Center Clinic/Center 5122 S Archer Ave, Chicago, IL 60632-4508 2013-11-15
1083051643 Oak Street Health Physicians Group, PC Clinic/Center 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 2013-05-22
1043564529 Triple S Medical Care S.c. Clinic/Center 6455 S Pulaski Rd, Chicago, IL 60629 2012-11-05
1548541022 Valentinalb,s.c. Clinic/Center 5108 N Lincoln Ave, Chicago, IL 60625-7295 2011-08-29
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Competitor

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City CHICAGO
Zip Code 60609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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