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NPI Code Detail

MEDICARE: THE CENTER FOR ADVANCED BREAST CARE S.C.

MEDICARE: THE CENTER FOR ADVANCED BREAST CARE 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
1174400000XSpecialist036065367IL

General Provider Information

NPI Number : 1831317411
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR ADVANCED BREAST CARE S.C.
Provider Business Mailing Address
First Line : 880 W CENTRAL RD
Second Line : SUITE 7300
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2355
Country : US
Telephone Number : 847-797-9000
Fax Number : 847-797-9099
Provider Business Practice Location Address
First Line : 880 W CENTRAL RD
Second Line : SUITE 7300
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2355
Country : US
Telephone Number : 847-797-9000
Fax Number : 847-797-9099
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL RICHARD KINNEY
Credential : M.D.
Telephone Number : 847-797-9000
Provider Enumeration Date : 04/22/2007
Last Update Date : 06/18/2013

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Directions to “THE CENTER FOR ADVANCED BREAST CARE S.C. ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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