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NPI Code Detail

MEDICARE: CIRCLE MEDICAL MANAGEMENT, INC.

MEDICARE: CIRCLE MEDICAL MANAGEMENT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center36061118IL
2174400000XSpecialist36061118IL

General Provider Information

NPI Number : 1184636516
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIRCLE MEDICAL MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 1426 W WASHINGTON BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1821
Country : US
Telephone Number : 312-829-1424
Fax Number : 312-850-8425
Provider Business Practice Location Address
First Line : 1426 W WASHINGTON BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1821
Country : US
Telephone Number : 312-829-1424
Fax Number : 312-850-8431
Authorized Official
Title or Position : BILLING SUPERSIVOR
Name : MRS. KIMBERLY CHEW
Credential :
Telephone Number : 312-829-1424
Provider Enumeration Date : 08/13/2006
Last Update Date : 05/19/2016

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Directions to “CIRCLE MEDICAL MANAGEMENT, INC. ” Practice Location

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