Organization · Type 2 NPI

CHS Illinois Medical, S.c.

General Practice Physician · Lincolnshire, IL

NPI number 1477798478 Active

Practice location

4 Overlook Pt, 40A-LL-WC
Lincolnshire, IL 60069-4302

Call (847) 613-4654 Map

Mailing address

5500 Maryland Way, Ste 400
Brentwood, TN 37027-4948

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NPI record

NPI: 1477798478
Entity type: Organization (Type 2)
Issued: Dec 5, 2008
Last updated: Feb 5, 2015
Status: Active
Subpart: Yes of CHS Health Services, LLC

Other names

<unavail>
Choose Health Wellness Center · doing business as

Authorized official

Mr. Stuart Clark
Executive V.p.
(615) 577-4927

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477798478

CHS Illinois Medical, S.c.'s National Provider Identifier is 1477798478, issued on Dec 5, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lincolnshire, IL. The record was last updated on Feb 5, 2015.