Organization
NOCD ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY TRUSKY (COO)
(312) 569-0820
Entity
Organization
Contact information
Practice address
6160 N CICERO AVE, CHICAGO, IL 60646
(312) 569-0820
Mailing address
225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
(312) 569-0820
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/07/2020
Update your record
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 at https://nppes.cms.hhs.gov.
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