Diversey Medical Center Sc is a
Internal Medicine - Cardiovascular Disease based in Chicago, Illinois. Diversey Medical Center Sc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2320 W Peterson Avenue, Chicago, Illinois. It can be reached at their office (for appointments etc.) via phone at
(773) 508-9800.
NPI number for Diversey Medical Center Sc is 1720096969 and their current mailing address is 2320 W Peterson Avenue, Chicago, Illinois. Diversey Medical Center Sc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1720096969.
Healthcare Provider's Profile
| Full Name | Diversey Medical Center Sc |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
|---|
| Location | 2320 W Peterson Avenue, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720096969
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 04/20/2008
Medical Identifiers
Medical identifiers for Diversey Medical Center Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720096969 | NPI | - | NPPES |
| 01616720 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diversey Medical Center Sc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diversey Medical Center Sc
2320 W Peterson Avenue,
Chicago, IL 60659-5242
Ph: (773) 508-9800 | Diversey Medical Center Sc
2320 W Peterson Avenue,
Chicago, IL 60659-5242
Ph: (773) 508-9800 |
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