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2001-15 N PARKSIDE LLC
NPI 1518607696
Clinic/Center in Chicago, IL

Active since March 29, 2022
405 N WABASH AVE STE P2-A, CHICAGO, IL 60611(312) 955-4005 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 2001-15 N Parkside Llc NPPES

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

2001-15 N PARKSIDE LLC (NPI 1518607696) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since March 2022. The organization lists Mona Khan, Physician, as its authorized official.

NPPES Registry Identity

NPI1518607696
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business Name2001-15 N PARKSIDE LLC
Location Address405 N WABASH AVE STE P2-AChicago, IL 60611-3744
Mailing Address18140 Audette StDearborn, MI 48124-4217 · (312) 998-5229
Phone(312) 955-4005
Organization SubpartNo
Authorized OfficialMona KhanPhysician · (312) 955-4005
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1518607696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
405 N WABASH AVE STE P2-A, Chicago, IL 60611
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Other Providers at the Same Location NPPES

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

RIVER NORTH WELLNESS CENTER LLC
Family Medicine
405 N WABASH AVE STE P2-A
CHICAGO, IL 60611
Cook County (773) 850-1095

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 2001-15 N Parkside LLC's NPI number?

The NPI number for 2001-15 N Parkside LLC is 1518607696. It was assigned to this organization in the NPPES registry on March 29, 2022.

Where is 2001-15 N Parkside LLC located?

2001-15 N Parkside LLC is located at 405 N Wabash Ave Ste P2-A, Chicago, IL 60611. The listed phone number is (312) 955-4005.

What is 2001-15 N Parkside LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for 2001-15 N Parkside LLC was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.