National Provider Identifier Database

DIVERSEY MEDICAL CENTER SC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

DIVERSEY MEDICAL CENTER SC
2320 W PETERSON AVENUE
CHICAGO, IL60659-5242
Phone: 773-508-9800
Fax: 773-508-1796
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Chiropractor 111N00000X
Gastroenterology 207RG0100X
Interventional Pain Medicine 208VP0014X
Ophthalmology 207W00000X
Otolaryngology 207Y00000X
Physical Therapist 225100000X
Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for DIVERSEY MEDICAL CENTER SC

NPI Number 1720096969
Legal business name
LBN
DIVERSEY MEDICAL CENTER SC
Authorized official AREF SENNO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/04/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 01616720 BCBS

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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