DIVERSEY HEALTHCARE CLINIC
NPI 1225416308
Clinic/Center - Primary Care in Chicago, IL

Active since May 11, 2015
4911 W DIVERSEY AVE, CHICAGO, IL 60639(773) 237-3100(855) 299-4948 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diversey Healthcare Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVERSEY HEALTHCARE CLINIC (NPI 1225416308) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since May 2015. The organization lists Ricardo Machado, President, as its authorized official.

NPPES Registry Identity

NPI1225416308
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDIVERSEY HEALTH CARE CLINIC INC
Location Address4911 W DIVERSEY AVEChicago, IL 60639-1705
Mailing Address349 Buckingham CtLombard, IL 60148-1667 · (708) 738-7351
Fax(855) 299-4948
Organization SubpartNo
Authorized OfficialRicardo MachadoPresident · (708) 738-7351
Enumeration DateMay 11, 2015
Last NPPES UpdateAugust 21, 2015
NPI 1225416308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036.120095
4911 W DIVERSEY AVE, Chicago, IL 60639

Other Names 1

Doing Business AsDiversey Healthcare Clinic

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4911 W DIVERSEY AVE
CHICAGO, IL 60639
Dentist
4911 W DIVERSEY AVE
CHICAGO, IL 60639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diversey Health Care Clinic Inc's NPI number?

The NPI number for Diversey Health Care Clinic Inc is 1225416308. It was assigned to this organization in the NPPES registry on May 11, 2015. The provider is doing business as Diversey Healthcare Clinic.

Where is Diversey Health Care Clinic Inc located?

Diversey Health Care Clinic Inc is located at 4911 W Diversey Ave, Chicago, IL 60639. The listed phone number is (773) 237-3100.

What is Diversey Health Care Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Diversey Health Care Clinic Inc was last updated on August 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.