Basic Information
| Provider Information | |||||||||
| NPI: | 1023046026 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | RESPIRATORY MEDICINE ASSOICATES, S.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4640 N MARINE DR | ||||||||
| Address2: | SUITE 5700 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606405719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7735645577 | ||||||||
| FaxNumber: | 7735645578 | ||||||||
| Practice Location | |||||||||
| Address1: | 4640 NORTH MARINE DRIVE | ||||||||
| Address2: | SUITE 5700 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7735645577 | ||||||||
| FaxNumber: | 7735645578 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | KANTER | ||||||||
| AuthorizedOfficialFirstName: | NELSON | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7735645577 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | IL | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.