HERMOSA MEDICAL & DIAGNOSTIC CENTER INC – NPI #1962615674
General Practice

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

Health Care Provider Taxonomy Code for General Practice

HERMOSA MEDICAL & DIAGNOSTIC CENTER INC is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1962615674 to HERMOSA MEDICAL & DIAGNOSTIC CENTER INC on May 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is HERMOSA MEDICAL & DIAGNOSTIC CENTER. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 10 years ago on Jun 14, 2016. 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 HERMOSA MEDICAL & DIAGNOSTIC CENTER INC below.

NPI Profile for
HERMOSA MEDICAL & DIAGNOSTIC CENTER INC

NPI Number
1962615674
Enumeration Date

(more than 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
HERMOSA MEDICAL & DIAGNOSTIC CENTER INC
Former Legal Business Name: HERMOSA MEDICAL & DIAGNOSTIC CENTER
Primary location
2004 N. PULASKI RD
CHICAGO, IL 60639-3767
Phone: (773) 772-8876 Fax: (773) 252-3091
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAGDA SHARIFEH
PRESIDENT
Phone: (773) 772-8876
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)

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.