63RD ADVANCED HEALTH CLINIC INC – NPI #1548492234
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Health Care Provider Taxonomy Code for Family Medicine

63RD ADVANCED HEALTH CLINIC INC is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1548492234 to 63RD ADVANCED HEALTH CLINIC INC on August 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 63RD ADVANCED HEALTH CLINIC INC below.

NPI Profile for
63RD ADVANCED HEALTH CLINIC INC

NPI Number
1548492234
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
63RD ADVANCED HEALTH CLINIC INC
Primary location
1249 W 63RD ST
CHICAGO, IL 60636-1947
Phone: (847) 904-7500 Fax: (847) 904-7502
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALESIA CHAIKA
OWNER
Phone: (847) 904-7500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.