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NPI Code Detail

MEDICARE: NORTHWEST COMMUNITY HEALTH SERVICES INC

MEDICARE: NORTHWEST COMMUNITY HEALTH SERVICES INC
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
1363A00000XPhysician Assistant
2363AM0700XMedical Physician Assistant
3367A00000XAdvanced Practice Midwife
4207VX0000XObstetrics Physician

General Provider Information

NPI Number : 1467057513
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST COMMUNITY HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 3040 W SALT CREEK LN
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-1069
Country : US
Telephone Number : 847-618-3481
Fax Number : 847-618-3489
Provider Business Practice Location Address
First Line : 880 W CENTRAL RD STE 6200
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2378
Country : US
Telephone Number : 847-618-0730
Fax Number : 847-618-0799
Authorized Official
Title or Position : CHIEF
Name : MICHAEL HARTKE
Credential :
Telephone Number : 847-618-5004
Provider Enumeration Date : 12/04/2020
Last Update Date : 03/17/2021

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Directions to “NORTHWEST COMMUNITY HEALTH SERVICES INC ” Practice Location

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