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Contact Information

CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION
4149 W 26TH ST
CHICAGO, IL60623-4314
 Phone: 877-542-1110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION

NPI Number 1275186033
LBN Legal business name CHICAGO REGENERATIVE MEDICAL CENTER CORPORATION
Authorized official VINCENT DOMINGO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2019
Last updated 05/26/2020 - About 6 years ago
Identifiers n/a
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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