South Side Medical Group Ltd. is a
Specialist based in Chicago, Illinois. South Side Medical Group Ltd. is licensed to practice in Illinois (license number 036113409) and their current practice location is
1111 E 87th St Ste 100b, Chicago, Illinois. It can be reached at their office (for appointments etc.) via phone at
(773) 376-0665.
NPI number for South Side Medical Group Ltd. is 1427288273 and their current mailing address is 1111 E 87th St Ste 100b, Chicago, Illinois. South Side Medical Group Ltd.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1427288273.
Healthcare Provider's Profile
Full Name | South Side Medical Group Ltd. |
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Type | Facility |
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Speciality | Specialist |
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Location | 1111 E 87th St Ste 100b, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427288273
- Provider Enumeration Date: 07/15/2009
- Last Update Date: 07/15/2009
Medical Identifiers
Medical identifiers for South Side Medical Group Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427288273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038010670 (Illinois) | Secondary |
174400000X | Specialist | 036113409 (Illinois) | Primary |
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. South Side Medical Group Ltd. 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 |
South Side Medical Group Ltd. 1111 E 87th St Ste 100b, Chicago, IL 60619-7062 Ph: (773) 376-0665 | South Side Medical Group Ltd. 1111 E 87th St Ste 100b, Chicago, IL 60619-7062 Ph: (773) 376-0665 |
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