1915-25 95TH ST., LLC
NPI 1447784921
Clinic/Center - Ambulatory Surgical in Chicago, IL

NPI Status: Active since April 12, 2017

Contact Information

1915 E 95TH ST
CHICAGO, IL
ZIP 60617
Phone: (630) 571-1100
Fax: (630) 504-6265

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About 1915-25 95TH ST., LLC

This page provides the complete NPI Profile along with additional information for 1915-25 95th St., Llc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1447784921 assigned on April 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Ravish Shah (Office Manager)

NPI
1447784921
Provider Name
1915-25 95TH ST., LLC
Entity Type
Organization
Location Address
1915 E 95TH ST CHICAGO, IL 60617
Location Phone
(630) 571-1100
Location Fax
(630) 504-6265
Mailing Address
1915 E 95TH STREET CHICAGO, IL 60617
Mailing Phone
(630) 571-1100
Mailing Fax
(630) 504-6265
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2017
Last Update Date
04-12-2017
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

MR. RAVISH SHAH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(630) 571-1100

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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.
1447784921
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487148894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 4 + 8 + 8 + 9 + 4 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1447784921 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447784921, enumerated in the NPI registry as an "organization" on April 12, 2017

The provider is located at 1915 E 95th St Chicago, Il 60617 and the phone number is (630) 571-1100

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

This NPI record was last updated on April 12, 2017. 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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