CENTRAL CLINIC – NPI #1538656863
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

CENTRAL CLINIC is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1538656863 to CENTRAL CLINIC on April 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL CLINIC” is a dba name, the actual legal business name for this organization is CENTRAL CLINIC & RESEARCH SCIENCES INC. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 7 years ago on Dec 04, 2019. 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 CENTRAL CLINIC below.

NPI Profile for
CENTRAL CLINIC & RESEARCH SCIENCES INC

NPI Number
1538656863
Enumeration Date

(more than 8 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
CENTRAL CLINIC & RESEARCH SCIENCES INC
Doing Business As (dba): CENTRAL CLINIC
Primary location
645 S CENTRAL AVE
CHICAGO, IL 60644-5059
Phone: (708) 275-7458 Fax:
Mailing address
1224 RICHMOND AVE
WESTMONT, IL 60559-3300
Phone: (708) 275-7458 Fax:
Organization Subpart
No
Authorized Official
MYSORE BHAGAVAN
PRESIDENT
Phone: (708) 275-7458
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
207R00000X
- Internal Medicine (Primary)		 IL 036-094099

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.