# CENTRAL MEDICAL SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Medical Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104066398
- **Authorized official:** DR. JOHN J OKEEFE M.D. (MANAGING PARTNER)
- **Authorized official phone:** (312) 326-6100

## Contact information

- **Practice address:** 2715 N CENTRAL AVE, CHICAGO, IL 60639-1351
- **Practice address phone:** (312) 326-6100
- **Practice address fax:** (773) 385-6890
- **Mailing address:** 2715 N CENTRAL AVE, CHICAGO, IL 60639-1351
- **Mailing address phone:** (312) 326-6100
- **Mailing address fax:** (773) 385-6890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | IL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | IL | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | IL | — |
| 213E00000X | Podiatrist | — | IL | — |
| 225100000X | Physical Therapist | — | IL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2009
- **Last updated:** 09/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1601972 | BLUE CROSS BLUE SHIELD OF ILLINOIS | IL |