ENDOCRINE DIABETES CLINIC LTD – NPI #1598006546
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

ENDOCRINE DIABETES CLINIC LTD is a provider located in EVERGREEN PARK, IL. NPPES has assigned the NPI number 1598006546 to ENDOCRINE DIABETES CLINIC LTD on March 14, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

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 ENDOCRINE DIABETES CLINIC LTD below.

NPI Profile for
ENDOCRINE DIABETES CLINIC LTD

NPI Number
1598006546
Enumeration Date

(more than 13 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
ENDOCRINE DIABETES CLINIC LTD
Primary location
3830 W 95TH ST
EVERGREEN PARK, IL 60805-2004
Phone: (708) 479-6522 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ABDALLAH ALTARSHAN
PRESIDENT
Phone: (708) 479-6522
Updated
Identifiers

Identifiers for ENDOCRINE DIABETES CLINIC LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036093254
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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
IL 036093254

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.