DIVERSEY MEDICAL CENTER SC, Cardiovascular Disease CHICAGO, IL

Contact Information

DIVERSEY MEDICAL CENTER SC

2320 W PETERSON AVENUE
CHICAGO, IL 60659-5242

Phone: 773-508-9800
Fax: 773-508-1796
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Chiropractor	111N00000X	35	Chiropractic
Gastroenterology	207RG0100X	10	Physician/Gastroenterology
Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management
Ophthalmology	207W00000X	18	Physician/Ophthalmology
Otolaryngology	207Y00000X	04	Physician/Otolaryngology
Physical Therapist	225100000X	65	Physical Therapist in Private Practice
Podiatrist	213E00000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for DIVERSEY MEDICAL CENTER SC · (Female)

NPI Number	`1720096969`
Status	Active
Credentials
Entity	Individual
Enumeration date	08/04/2006
Last updated	04/20/2008 - About 18 years ago
Sole proprietor ¹	Not specified
Identifiers	Other 01616720 BCBS
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DIVERSEY MEDICAL CENTER SCCardiovascular Disease

Contact Information

Specialty

NPI Profile & details for DIVERSEY MEDICAL CENTER SC · (Female)

Reviews for DIVERSEY MEDICAL CENTER SC

DIVERSEY MEDICAL CENTER SC
Cardiovascular Disease