SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC; NPI #1144593369

Contact Information

SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC

2334 S WABASH AVE
CHICAGO, IL 60616-2112

Phone: 630-889-9889
Fax: 630-889-8977
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC

NPI Number	`1144593369`
LBN Legal business name	SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC
Authorized official	DAVID CHUA - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/18/2012
Last updated	02/18/2012 - About 14 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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