A REZVAN MD SC AND ASSOCIATES , NPI 1578639498
Internal Medicine in CHICAGO, IL
Last Updated on : Aug 22,2020
About A REZVAN MD SC AND ASSOCIATES (NPI 1578639498)
A REZVAN MD SC AND ASSOCIATES is an Internal Medicine in CHICAGO, United States .
1578639498 is NPI number of A REZVAN MD SC AND ASSOCIATES.
A REZVAN MD SC AND ASSOCIATES's primary taxonomy code based on NPI Lookup is 207R00000X with license number 036044818. This taxonomy code refers to Internal Medicine.
A REZVAN MD SC AND ASSOCIATES current practice location address is 1921 N HARLEM AVE, CHICAGO, IL. A REZVAN MD SC AND ASSOCIATES can be reached out via phone at 773-235-0800 and via fax at 847-657-1622 .
You can also correspond with A REZVAN MD SC AND ASSOCIATES through mail at mailing address 1921 N HARLEM AVE, CHICAGO, IL, United States. Mailing address contact number is 773-235-0800.
The enumeration date of A REZVAN MD SC AND ASSOCIATES is 24-Nov-2006. The provider is registered as an Organization and the NPI record was last updated 3 years ago. The authorized official of A REZVAN MD SC AND ASSOCIATES is ABDOLMAJID REZVAN (M.D.). ABDOLMAJID REZVAN can be reached at 7732350800.1578639498 NPI Information
Basic NPI information of A REZVAN MD SC AND ASSOCIATES (NPI 1578639498) is provided below.
| Name | A REZVAN MD SC AND ASSOCIATES |
|---|---|
| National Provider Id (NPI) | 1578639498 |
| Entity Type | Organization |
| Practice Address | 1921 N HARLEM AVE,
SUITE 106
CHICAGO, IL, United States |
| Practice Telephone | 773-235-0800 |
| Practice Fax Number | 847-657-1622 |
| Mailing Address | 1921 N HARLEM AVE ,
SUITE 106
CHICAGO, IL, United States |
| Mailing Telephone | 773-235-0800 |
| Mailing Fax Number | 847-657-1622 |
| Enumeration Date | 24-Nov-2006 |
| Last Updated Date | 22-Aug-2020 |
A REZVAN MD SC AND ASSOCIATES (NPI 1578639498) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036044818 | IL |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036044818 | Other (non-Medicare) (01) | IL | License # |
| 036044818 | MEDICAID (05) | IL | |
| 901420 | MEDICARE ID-Type Unspecified (04) | IL | Medicare Provider # |
| ========= | Other (non-Medicare) (01) | IL | TIN |
| D12408 | MEDICARE UPIN (02) | IL |
A REZVAN MD SC AND ASSOCIATES (NPI 1578639498) Office Location
Office location of A REZVAN MD SC AND ASSOCIATES is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1942649421 | 1 CARE INC. | Counselor, Mental Health | 4800 S CHICAGO BEACH DR,
SUITE 901N CHICAGO, IL, United States |
18-Jun-2013 |
| 1598322497 | 1 CARE TRANSPORTATION | Private Vehicle | 4542 S ELLIS AVE,
CHICAGO, IL, United States |
26-May-2019 |
| 1265979389 | 1 STOP MEDICAL SUPPLY SHOP | Durable Medical Equipment & Medical Supplies | 1055 W BRYN MAWR AVE,
STE F252 CHICAGO, IL, United States |
26-Jan-2017 |
| 1578736112 | 1-ON-1 MD, LLC | Internal Medicine | 3501 N SOUTHPORT AVE UNIT 495,
CHICAGO, IL, United States |
03-Apr-2008 |
| 1508161001 | 1-ON-1 MD, LLC | Clinic/Center, Primary Care | 1030 N CLARK ST,
SUITE 310 CHICAGO, IL, United States |
14-Jan-2011 |
| 1730674227 | 105 W MADISON DENTAL PC | Dentist | 600 FAIRWAY DR STE 206,
DEERFIELD BEACH, FL, United States |
27-Jun-2018 |
| 1699218271 | 1103 HEALTH PARTNERS, LLC | Home Health | 456 W BRIAR PL,
SUITE #1 CHICAGO, IL, United States |
30-Nov-2016 |
| 1255415386 | 111TH PHARMA - FAMILY | Pharmacy, Community/Retail Pharmacy | 11101 S STATE ST,
CHICAGO, IL, United States |
25-Oct-2006 |
| 1659616175 | 111TH PHARMA-FAMILY | Clinic/Center, Health Services | 11101 S STATE ST,
CHICAGO, IL, United States |
10-Dec-2012 |
| 1518602796 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 778789,
CHICAGO, IL, United States |
02-May-2022 |
| 1710621537 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 778789,
CHICAGO, IL, United States |
27-Apr-2022 |
| 1568104248 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Adolescent and Children Mental Health | PO BOX 778789,
CHICAGO, IL, United States |
12-Apr-2022 |
| 1750026449 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 778789,
CHICAGO, IL, United States |
28-Apr-2022 |
| 1174265854 | 16TH STREET COMMUNITY HEALTH CENTER INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | PO BOX 778789,
CHICAGO, IL, United States |
12-Apr-2022 |
| 1447784921 | 1915-25 95TH ST., LLC | Clinic/Center, Ambulatory Surgical | 1915 E 95TH STREET,
CHICAGO, IL, United States |
12-Apr-2017 |
| 1164135562 | 1938 HOMECARE SERVICES | In Home Supportive Care | 4247 W ROOSEVELT RD FL 2,
CHICAGO, IL, United States |
30-Dec-2022 |
| 1679284129 | 1ADEM HOMECARE ILLINOIS INC. | In Home Supportive Care | 5504 S MICHIGAN AVE APT 316,
CHICAGO, IL, United States |
06-Dec-2022 |
| 1356488365 | 1ST AMERICAN DENTAL | Dentist, General Practice | 2749 W CERMAK,
CHICAGO, IL, United States |
31-Jan-2007 |
| 1487791422 | 1ST BRITE DENTAL | Dentist, General Practice | 2759 W 55TH ST,
CHICAGO, IL, United States |
31-Jan-2007 |
| 1033345814 | 1ST CHOICE TRANSPORTATION, INC | Non-emergency Medical Transport (VAN) | PO BOX 29592,
CHICAGO, IL, United States |
06-Jun-2009 |
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FAQs
Whose NPI Number is 1578639498?1578639498 is the NPI number of A REZVAN MD SC AND ASSOCIATES.
Where is A REZVAN MD SC AND ASSOCIATES located?A REZVAN MD SC AND ASSOCIATES is located at 1921 N HARLEM AVE, CHICAGO, IL.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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