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Contact Information

METRO MG LLC
5408 W FULLERTON AVE
CHICAGO, IL60639
 Phone: 786-301-4903
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for METRO MG LLC

NPI Number 1720891674
LBN Legal business name METRO MG LLC
Authorized official JOSE AYALA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/27/2025
Last updated 01/27/2025 - More than a year 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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