Organization
NORTHWEST PULMONARY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY M JANKELOWITZ MD (PRESIDENT)
(773) 631-2180
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 542, CHICAGO, IL 60631-3745
(773) 631-2180
(773) 631-5947
Mailing address
7447 W TALCOTT AVE, SUITE 542, CHICAGO, IL 60631-3745
(773) 631-2180
(773) 631-5947
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
042007411
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056892
—
IL
05
—
036099147
—
IL
05
—
036101642
—
IL
05
—
036105579
—
IL
05
—
036115740
—
IL
01
—
1477574127
NPI
—
Enumeration date
10/24/2006
Last updated
10/27/2022
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