22ND CENTURY HEALTHCARE, P.C. – NPI #1558595272
General Practice

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

22ND CENTURY HEALTHCARE, P.C. is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1558595272 to 22ND CENTURY HEALTHCARE, P.C. on May 09, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 22ND CENTURY HEALTHCARE, P.C. below.

NPI Profile for
22ND CENTURY HEALTHCARE, P.C.

NPI Number
1558595272
Enumeration Date

(more than 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
22ND CENTURY HEALTHCARE, P.C.
Primary location
875 N MICHIGAN AVE
SUITE 3100
CHICAGO, IL 60611-1803
Phone: (773) 362-5461 Fax:
Mailing address
3712 N BROADWAY ST
SUITE 629
CHICAGO, IL 60613-4235
Phone: Fax:
Organization Subpart
No
Authorized Official
BO HEADLAM
CEO
Phone: (773) 362-5461
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.

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.