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NPI Code Detail

MEDICARE: MS HEALTH CARE S.C.

MEDICARE: MS HEALTH 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
1208000000XPediatrics Physician
2261Q00000XClinic/Center
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1952005902
Entity Type Code : Organization
Provider Name (Legal Business Name) : MS HEALTH CARE S.C.
Provider Business Mailing Address
First Line : 6338 W GUNNISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6338 W GUNNISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2954
Country : US
Telephone Number : 773-553-9648
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : NICOLE MCCULLOUGH
Credential :
Telephone Number : 773-553-9648
Provider Enumeration Date : 03/27/2023
Last Update Date : 10/05/2025

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Directions to “MS HEALTH CARE S.C. ” Practice Location

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