NPI Code Details Logo

NPI 1659284859

NPI 1659284859 : INSIGHT CHICAGO, INC. : ELMWOOD PARK, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1659284859
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    INSIGHT CHICAGO, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/28/2026
-----------------------------------------------------
    Last Update Date     |    09/28/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2502 N HARLEM AVE STE 1 
-----------------------------------------------------
    City                 |    ELMWOOD PARK
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60707-2020
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    312-567-2000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4800 S SAGINAW ST STE 1800 
-----------------------------------------------------
    City                 |    FLINT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48507-2677
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    810-732-9333
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     ROBIN  COLE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    810-275-9333
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QM1300X
-----------------------------------------------------
    Taxonomy Name        |    Multi-Specialty Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261QP3300X
-----------------------------------------------------
    Taxonomy Name        |    Pain Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.