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NPI 1700538758

OrganizationActive

Transactions Is Accurate

NPI 1700538758 · Point of Service · Chicago, IL

Provider details

NPI number: 1700538758
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Authorized official: Tia Scott, Director

Practice location

14419 S Saginaw Ave

Chicago, IL 60633-2009

Phone: (773) 960-1656

More IL providers

Mailing address

14419 S Saginaw Ave

Chicago, IL 60633-2009

Registry dates

Enumerated: 2022-01-20
Last updated: 2022-01-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Transactions Is Accurate — NPI 1700538758, Chicago, IL | NPI Central