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Contact Information

CENTRAL MEDICAL SPECIALISTS LLC
2715 N CENTRAL AVE
CHICAGO, IL60639-1351
 Phone: 312-326-6100
 Fax: 773-385-6890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
 

Chiropractor

111N00000X 35 Chiropractic
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CENTRAL MEDICAL SPECIALISTS LLC

NPI Number 1104066398
LBN Legal business name CENTRAL MEDICAL SPECIALISTS LLC
Authorized official JOHN OKEEFE - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2009
Last updated 09/28/2012 - About 14 years ago
Identifiers
IL Other 1601972 BLUE CROSS BLUE SHIELD OF ILLINOIS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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