MEDICARE: RESPIRATORY MEDICINE ASSOICATES, 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
1	174400000X	Specialist		IL

General Provider Information

NPI Number	:	1023046026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPIRATORY MEDICINE ASSOICATES, S.C.

Provider Business Mailing Address
First Line	:	4640 N MARINE DR
Second Line	:	SUITE 5700
City	:	CHICAGO
State	:	IL
Zip	:	60640-5719
Country	:	US
Telephone Number	:	773-564-5577
Fax Number	:	773-564-5578

Provider Business Practice Location Address
First Line	:	4640 NORTH MARINE DRIVE
Second Line	:	SUITE 5700
City	:	CHICAGO
State	:	IL
Zip	:	60640
Country	:	US
Telephone Number	:	773-564-5577
Fax Number	:	773-564-5578

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NELSON KANTER
Credential	:	M.D.
Telephone Number	:	773-564-5577

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	08/22/2020

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