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Contact Information

AXIS MEDICAL MANAGEMENT GOUP SC
4111 W 26TH ST
SUITE 110
CHICAGO, IL60623-4313
 Phone: 773-542-1111
 Fax: 773-542-7100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for AXIS MEDICAL MANAGEMENT GOUP SC

NPI # 1932221397
LBN Legal business name AXIS MEDICAL MANAGEMENT GOUP SC
Authorized official JAN STRUWE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2007
Last updated 04/25/2008 - About 18 years ago
Identifiers
IL License # 042.618397038.010225
IL Other 1634898 BLUE CROSS BLUE SHIELD ID
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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