CHICAGO AMBULATORY CARE CENTER, LTD – NPI #1821345208
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CHICAGO AMBULATORY CARE CENTER, LTD is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1821345208 to CHICAGO AMBULATORY CARE CENTER, LTD on August 05, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 5 years ago on Sep 11, 2021. 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 CHICAGO AMBULATORY CARE CENTER, LTD below.

NPI Profile for
CHICAGO AMBULATORY CARE CENTER, LTD

NPI Number
1821345208
Enumeration Date

(about 14 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
CHICAGO AMBULATORY CARE CENTER, LTD
Primary location
1044 N MOZART ST
STE - 402
CHICAGO, IL 60622-2789
Phone: (773) 292-4501 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE AMPALLOOR
PRESIDENT
Phone: (773) 292-4501
Updated
Certification Date
Sep 11, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHICAGO AMBULATORY CARE CENTER, 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
MEDICAIDIL036105483
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
208000000X
- Pediatrics (Primary)
IL 036105483

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.