Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CHICAGO AMBULATORY CARE CENTER, LTD
Active
Organization
CHICAGO AMBULATORY CARE CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE THOMAS AMPALLOOR M.D (PRESIDENT)
(773) 292-4501
Entity
Organization
Contact information
Practice address
1044 N MOZART ST, STE - 402, CHICAGO, IL 60622-2789
(773) 292-4501
Mailing address
1044 N MOZART ST, STE - 402, CHICAGO, IL 60622-2789
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036105483
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105483
—
IL
Enumeration date
08/05/2012
Last updated
09/11/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up