CLAUDE MANDEL MEDICAL CENTER
NPI 1366562043
Internal Medicine - Gastroenterology in Chicago, IL

NPI Status: Active since March 29, 2007

Contact Information

8507 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60617
Phone: (773) 978-1400
Fax: (773) 978-4389

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • Accepts Insurance

About CLAUDE MANDEL MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Claude Mandel Medical Center, an internist established in Chicago, Illinois operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1366562043 assigned on March 2007. The practitioner's primary taxonomy code is 207RG0100X with license number 036057668 (ID). The provider is registered as an organization and their NPI record was last updated 6 years ago. Claude Mandel Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Claude Mandel Medical Center. The authorized official of this NPI record is Claudia Johnson Md (Medical Director, President)

NPI
1366562043
Provider Legal Name
CMJ MEDICAL ENTERPRISES LTD
Other Organization Name
CLAUDE MANDEL MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8507 S STONY ISLAND AVE CHICAGO, IL 60617
Location Phone
(773) 978-1400
Location Fax
(773) 978-4389
Mailing Address
8507 S STONY ISLAND AVE CHICAGO, IL 60617
Mailing Phone
(773) 978-1400
Mailing Fax
(773) 978-4389
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2007
Last Update Date
11-26-2019
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An internist like Claude Mandel Medical Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
036057668
License State
ID
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAUDIA JOHNSON MD

Authorized Official Title
MEDICAL DIRECTOR, PRESIDENT
Authorized Official Phone
(773) 978-1400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1626621OTHER (01)ILBCBS
36057668MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366562043
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126106408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 6 + 4 + 0 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1366562043 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992805782DR. CLAUDIA JOHNSON M.D.
Individual
Internal Medicine (Gastroenterology)8507 S STONY ISLAND AVE
CHICAGO, IL 60617
(773) 978-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366562043, enumerated in the NPI registry as an "organization" on March 29, 2007

The provider is located at 8507 S Stony Island Ave Chicago, Il 60617 and the phone number is (773) 978-1400

This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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