Organization
CENTRAL MEDICAL SPECIALISTS LLC
Active
Other names
Central Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J OKEEFE M.D. (MANAGING PARTNER)
(312) 326-6100
Entity
Organization
Contact information
Practice address
2715 N CENTRAL AVE, CHICAGO, IL 60639-1351
(312) 326-6100
(773) 385-6890
Mailing address
2715 N CENTRAL AVE, CHICAGO, IL 60639-1351
(312) 326-6100
(773) 385-6890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
IL
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
208VP0014X
Interventional Pain Medicine Physician
—
IL
213E00000X
Podiatrist
—
IL
225100000X
Physical Therapist
—
IL
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601972
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
02/27/2009
Last updated
09/28/2012
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