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NPI Code Detail

MEDICARE: THE PROFESSIONAL CENTER INC

MEDICARE: THE PROFESSIONAL CENTER 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
1174400000XSpecialist036110332IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11637042OTHERILBLUE CROSS BLUE SHIELD OF ILLINOIS

General Provider Information

NPI Number : 1952592123
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PROFESSIONAL CENTER INC
Provider Business Mailing Address
First Line : 2834 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-7401
Country : US
Telephone Number : 773-772-1139
Fax Number : 773-772-9260
Provider Business Practice Location Address
First Line : 2834 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-7401
Country : US
Telephone Number : 773-772-1139
Fax Number : 773-772-9260
Authorized Official
Title or Position : PRESIDENT
Name : DR. JENNIFER LIMA
Credential : MD
Telephone Number : 773-772-1139
Provider Enumeration Date : 08/05/2007
Last Update Date : 02/27/2026

Similar Medicare Providers

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Practice Location Address:
2834 N MILWAUKEE AVE
CHICAGO, IL
60618-7401
Practice Phone: 773-772-1139
Practice Fax: 773-772-9260
1578650230 — MRS. RAFAELA MUNOZ ULRICH MD
Practice Location Address:
2844 N MILWAUKEE AVENUE
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1619590601 — JENIFFER ELIZABETH LIMA MD
Practice Location Address:
2834 N MILWAUKEE AVE
CHICAGO, IL
60618-7401
Practice Phone: 773-772-1139
Practice Fax:
1962074500 — NEAR NORTH HEALTH SERVICE CORPORATION
Practice Location Address:
2844 N MILWAUKEE AVE
CHICAGO, IL
60618-7401
Practice Phone: 773-661-3349
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1124036264 — MS. MICHELLE GONWA HEYDEN MAAT, LCPC
Practice Location Address:
180 N MICHIGAN AVE , SUITE 905
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60601-7401
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Practice Fax:
1487640355 — ROBERT W. BUCHANAN, M.D. S.C.
Practice Location Address:
180 N MICHIGAN AVE , SUITE 1010
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60601-7401
Practice Phone: 312-726-7729
Practice Fax: 312-726-7765

Directions to “THE PROFESSIONAL CENTER INC ” Practice Location

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