MEDICARE: CHELSEA PROFESSIONAL SERVICES

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

General Provider Information

NPI Number	:	1689061467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHELSEA PROFESSIONAL SERVICES

Provider Business Mailing Address
First Line	:	3145 W CLARK RD
Second Line	:	SUITE 401
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1120
Country	:	US
Telephone Number	:	734-528-5700
Fax Number	:	734-528-5701

Provider Business Practice Location Address
First Line	:	3145 W CLARK RD
Second Line	:	SUITE 401
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1120
Country	:	US
Telephone Number	:	734-528-5700
Fax Number	:	734-528-5701

Authorized Official
Title or Position	:	MANAGER PROVIDER ENROLLMENT
Name	:	ARIANA GRACE RAYMOND
Credential	:
Telephone Number	:	734-343-1466

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	05/04/2026

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Directions to “CHELSEA PROFESSIONAL SERVICES ” Practice Location

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