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PARK MEDICAL & SURGICAL PLAZA
NPI 1457423683
Clinic/Center - Podiatric in Chicago, IL

Active since November 14, 2006
2621 N HALSTED ST, CHICAGO, IL 60614(773) 477-3670(773) 871-1644 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Podiatric

About PARK MEDICAL & SURGICAL PLAZA

This page provides the complete NPI Profile along with additional information for Park Medical & Surgical Plaza, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1457423683 assigned on November 2006. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Lee R Stein Dpm (President)

NPI
1457423683 Verify this NPI
Provider Name
PARK MEDICAL & SURGICAL PLAZA
Entity Type
Organization
Location Address
2621 N HALSTED ST CHICAGO, IL 60614
Location Phone
(773) 477-3670
Location Fax
(773) 871-1644
Mailing Address
2621 N HALSTED ST CHICAGO, IL 60614
Mailing Phone
(773) 477-3670
Mailing Fax
(773) 871-1644
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2006
Last Update Date
09-25-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LEE R STEIN DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(773) 477-3670

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Frequently Asked Questions

What is PARK MEDICAL & SURGICAL PLAZA's NPI number?

The NPI number assigned to this healthcare provider is 1457423683, enumerated as an "organization" on November 14, 2006.

Where is the provider located?

The provider is located at 2621 N HALSTED ST CHICAGO, IL 60614 and the phone number is (773) 477-3670.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.