Organization
NAVA SEGALL MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVA SEGALL MD (PRESIDENT)
(773) 883-2350
Entity
Organization
Contact information
Practice address
4116 N LINCOLN AVE, CHICAGO, IL 60618-3028
(773) 883-2350
(773) 883-2351
Mailing address
PO BOX 10465, CHICAGO, IL 60610-0465
(773) 883-2350
(773) 883-2351
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036099451
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036099451
BLUE CROSS AND BLUE SHIELD
IL
05
—
0360999451
—
IL
Enumeration date
04/25/2008
Last updated
12/22/2010
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