WEST GRAND CLINIC,LTD – NPI #1346434776
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

WEST GRAND CLINIC,LTD is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1346434776 to WEST GRAND CLINIC,LTD on August 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 WEST GRAND CLINIC,LTD below.

NPI Profile for
WEST GRAND CLINIC,LTD

NPI Number
1346434776
Enumeration Date

(about 19 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
WEST GRAND CLINIC,LTD
Primary location
1851 W GRAND AVE
CHICAGO, IL 60622
Phone: (312) 455-2801 Fax: (312) 455-2802
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIA GIACCHINO
ADMINISTRATOR
Phone: (312) 636-9544
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
208D00000X
- General Practice (Primary)
IL

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.