# NAVA SEGALL MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528233087
- **Authorized official:** DR. NAVA SEGALL MD (PRESIDENT)
- **Authorized official phone:** (773) 883-2350

## Contact information

- **Practice address:** 4116 N LINCOLN AVE, CHICAGO, IL 60618-3028
- **Practice address phone:** (773) 883-2350
- **Practice address fax:** (773) 883-2351
- **Mailing address:** PO BOX 10465, CHICAGO, IL 60610-0465
- **Mailing address phone:** (773) 883-2350
- **Mailing address fax:** (773) 883-2351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 036099451 | IL | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 12/22/2010