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NPI Code Detail

MEDICARE: RESPIRATORY HEALTH ASSOCIATION OF METROPOLITAN CHICAGO

MEDICARE: RESPIRATORY HEALTH ASSOCIATION OF METROPOLITAN CHICAGO
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
1251V00000XVoluntary or Charitable Agency

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00278862OTHERILRAILROAD MEDICARE

General Provider Information

NPI Number : 1841484466
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESPIRATORY HEALTH ASSOCIATION OF METROPOLITAN CHICAGO
Provider Business Mailing Address
First Line : 1440 W WASHINGTON BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1821
Country : US
Telephone Number : 312-243-2000
Fax Number : 312-243-3954
Provider Business Practice Location Address
First Line : 1440 W WASHINGTON BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1821
Country : US
Telephone Number : 312-243-2000
Fax Number : 312-243-3954
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MR. JOEL J AFRICK
Credential :
Telephone Number : 312-243-2000
Provider Enumeration Date : 08/28/2007
Last Update Date : 08/28/2007

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