PHYSICIAN SPECIALTY
NPI 1609045863
Clinic/Center in Chicago, IL
NPI Status: Active since February 21, 2008
Contact Information
1044 N FRANCISCO AVE
CHICAGO, IL
ZIP 60622
Phone: (773) 292-8200
Fax: (773) 278-3899
- Organization
- Clinic/Center
About PHYSICIAN SPECIALTY
This page provides the complete NPI Profile along with additional information for Physician Specialty, a provider established in Chicago, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1609045863 assigned on February 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Physician Specialty. The authorized official of this NPI record is Dorothy Cheryl Erins (Credentialing Specialist)
- NPI
- 1609045863
- Provider Legal Name
- HUMBOLDT PARK HEALTH
- Other Organization Name
- PHYSICIAN SPECIALTY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1044 N FRANCISCO AVE CHICAGO, IL 60622
- Location Phone
- (773) 292-8200
- Location Fax
- (773) 278-3899
- Mailing Address
- 1799 MOMENTUM PL LOCK BOX 231799 CHICAGO, IL 60689
- Mailing Phone
- (773) 292-8200
- Mailing Fax
- (773) 278-3899
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-21-2008
- Last Update Date
- 01-27-2021
- Code Navigator
Location Map
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | 000007296 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 945301 | OTHER (01) | IL | GROUP |
| 01618185 | OTHER (01) | IL | BCBS |
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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. | |||||||||
| 1 | 6 | 0 | 9 | 0 | 4 | 5 | 8 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 0 | 4 | 10 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 0 + 4 + 1 + 0 + 8 + 1 + 2 + 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 = 3 | 3 | ||||||||
The NPI number 1609045863 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619976255 | DR. JOSEPH A VILLALONA M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8392 |
| 1235122201 | MRS. SO J KIM MD Individual | Anesthesiology | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1497748826 | JANGSOO KIM MD Individual | Anesthesiology | 1044 N FRANCISCO AVE NORWEGION AMERICAN HOSPITAL CHICAGO, IL 60622 (773) 292-8333 |
| 1477509537 | RITA C ABEJO MD Individual | Radiology (Diagnostic Radiology) | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8251 |
| 1740237361 | DR. MANUEL M ESCALONA MD Individual | Obstetrics & Gynecology | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1447207022 | CESAR A CARRANZA MD Individual | Family Medicine | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 252-1991 |
| 1215976808 | DR. LARRY D GOLDSTEIN MD Individual | Radiology (Diagnostic Radiology) | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1730129461 | DR. QAISER JAMAL M.D. Individual | Internal Medicine | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8278 |
| 1700817400 | DR. VIKAS V SHARMA M.D. Individual | Anesthesiology | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1922030147 | CHOWDARY ADUSUMILLI M.D. Individual | Emergency Medicine | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1043235005 | FARHANA KHAN M.D. Individual | Emergency Medicine | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1639190531 | DR. PAZ F SANGO M.D. Individual | Family Medicine | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8278 |
| 1790893345 | DR. KYA R ROBOTTOM M.D. Individual | Obstetrics & Gynecology (Gynecology) | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8278 |
| 1336235670 | HENRY SON MUNEZ M.D. Individual | Pediatrics | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8254 |
| 1619065844 | DR. OSCAR A JARA M.D. Individual | Radiology (Diagnostic Radiology) | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8278 |
| 1154446938 | DR. TAMEKA YVETTE HOUSTON Individual | Pharmacist | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1063534121 | DR. ALEJANDRO RARANG M.D. Individual | General Practice | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8278 |
| 1902009186 | NAH EMERGENCY SERVICES SC Organization | Clinic/Center (Emergency Care) | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1407048440 | DR. SAPANJOT K BAJWA M.D. Individual | Obstetrics & Gynecology | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8200 |
| 1871743468 | CHICAGO CARDIOVASCULAR THORACIC SURGICAL SPECIALISTS PC Organization | Clinic/Center (Multi-Specialty) | 1044 N FRANCISCO AVE CHICAGO, IL 60622 (773) 292-8388 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609045863, enumerated in the NPI registry as an "organization" on February 21, 2008
The provider is located at 1044 N Francisco Ave Chicago, Il 60622 and the phone number is (773) 292-8200
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 February 21, 2008. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.