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NPI Code Detail

MEDICARE: GREATER CHICAGO SPECIALTY PHYSICIANS LLC

MEDICARE: GREATER CHICAGO SPECIALTY PHYSICIANS LLC
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
1111N00000XChiropractor
2207RR0500XRheumatology Physician

General Provider Information

NPI Number : 1265712699
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER CHICAGO SPECIALTY PHYSICIANS LLC
Provider Business Mailing Address
First Line : 80 WEST HILLCREST BLVD
Second Line : SUITE 208
City : SCHAUMBURG
State : IL
Zip : 60195-3173
Country : US
Telephone Number : 630-339-5300
Fax Number : 630-339-5305
Provider Business Practice Location Address
First Line : 80 WEST HILLCREST BLVD
Second Line : SUITE 208
City : SCHAUMBURG
State : IL
Zip : 60195-3173
Country : US
Telephone Number : 630-339-5300
Fax Number : 630-339-5305
Authorized Official
Title or Position : MEMBER
Name : KAMRAN CHAUDHARY
Credential : MD
Telephone Number : 630-339-5300
Provider Enumeration Date : 08/17/2011
Last Update Date : 12/22/2021

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Directions to “GREATER CHICAGO SPECIALTY PHYSICIANS LLC ” Practice Location

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