MEDICARE: HEALTHPLUS CHICAGO LTD

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	207R00000X	Internal Medicine Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001630272	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1043365281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHPLUS CHICAGO LTD

Provider Business Mailing Address
First Line	:	PO BOX 08420
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-0420
Country	:	US
Telephone Number	:	773-847-9680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 W CERMAK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-4204
Country	:	US
Telephone Number	:	773-857-9680
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANIL CHOPRA
Credential	:	M.D
Telephone Number	:	773-847-9680

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/22/2020

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Directions to “HEALTHPLUS CHICAGO LTD ” Practice Location

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