Chicago Headache Center And Research Institute Llc | |
3000 N Halsted St Ste 711 Chicago IL 60657-6185 | |
(773) 935-1000 | |
(773) 938-0500 |
Full Name | Chicago Headache Center And Research Institute Llc |
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Speciality | Family Medicine |
Location | 3000 N Halsted St Ste 711, Chicago, Illinois |
Authorized Official Name and Position | Bradley Torphy (OWNER) |
Authorized Official Contact | 7739351000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chicago Headache Center And Research Institute Llc 3000 N Halsted St Ste 601 Chicago IL 60657-9269 Ph: (773) 935-1000 | Chicago Headache Center And Research Institute Llc 3000 N Halsted St Ste 711 Chicago IL 60657-6185 Ph: (773) 935-1000 |
NPI Number | 1780225953 |
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Provider Enumeration Date | 09/30/2019 |
Last Update Date | 09/06/2023 |
Medicare PECOS PAC ID | 3779815394 |
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Medicare Enrollment ID | O20191031002840 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780225953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bradley D Torphy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104052372 PECOS PAC ID: 3476748492 Enrollment ID: I20101116000326 |
Provider Name | Jodi Straube |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255903209 PECOS PAC ID: 3375949142 Enrollment ID: I20220210002389 |
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