DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ST. JUDE MEDICAL CENTER S.C.

MEDICARE: ST. JUDE MEDICAL CENTER S.C.
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
1261QP2300XPrimary Care Clinic/Center036048250IL

General Provider Information

NPI Number : 1619104817
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JUDE MEDICAL CENTER S.C.
Provider Business Mailing Address
First Line : 1418 W 18TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3004
Country : US
Telephone Number : 312-733-3331
Fax Number : 312-733-1251
Provider Business Practice Location Address
First Line : 1418 W 18TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-3004
Country : US
Telephone Number : 312-733-3331
Fax Number : 312-733-1251
Authorized Official
Title or Position : PRESIDENT
Name : MR. KIRIT BHATT
Credential : M.D.
Telephone Number : 312-733-3331
Provider Enumeration Date : 06/15/2009
Last Update Date : 07/16/2009

Similar Medicare Providers

1821089996 — ACS HOME HEALTH SERVICES
Practice Location Address:
3004 S ARCHER AVE
CHICAGO, IL
60608-5526
Practice Phone: 773-650-9302
Practice Fax: 773-650-9303
1437498631 — MR. FERNANDO RESENDIZ
Practice Location Address:
1420 W 18TH ST
CHICAGO, IL
60608-3004
Practice Phone: 773-895-0274
Practice Fax:
1093348211 — RCI (WRS), INC.
Practice Location Address:
1420 W 18TH ST
CHICAGO, IL
60608-3004
Practice Phone: 773-830-2270
Practice Fax: 773-830-2063
1386258440 — RCI (WRS), LLC.
Practice Location Address:
1420 W 18TH ST
CHICAGO, IL
60608-3004
Practice Phone: 773-830-2270
Practice Fax:
1396578290 — KATIE LISSETTE VELAZQUEZ PT, DPT
Practice Location Address:
1420 W 18TH ST
CHICAGO, IL
60608-3004
Practice Phone: 773-830-2270
Practice Fax:
1063367712 — RUSH-SELECT HOLDINGS, LLC.
Practice Location Address:
1420 W 18TH ST
CHICAGO, IL
60608-3004
Practice Phone: 773-830-2270
Practice Fax:

Directions to “ST. JUDE MEDICAL CENTER S.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.