ST ANTHONY EMERGENCY SERVICES PHYSICIAN GROUP
NPI 1760587703
Emergency Medicine - Emergency Medical Services in Chicago, IL
NPI Status: Active since September 14, 2006
Contact Information
2875 W 19TH ST
CHICAGO, IL
ZIP 60623
Phone: (773) 484-4783
- Organization
- Emergency Medicine
- Emergency Medical Services
- CLIA Number: 14D0662517
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-08-2027
About ST ANTHONY EMERGENCY SERVICES PHYSICIAN GROUP
This page provides the complete NPI Profile along with additional information for St Anthony Emergency Services Physician Group, a provider established in Chicago, Illinois operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1760587703 assigned on September 2006. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as St Anthony Emergency Services Physician Group. The authorized official of this NPI record is Guy A Medaglia (President/ceo, Authorized Official)
- NPI
- 1760587703
- Provider Legal Name
- ST ANTHONY EMERGENCY SERVICES PHYSICIAN GROUP
- Other Organization Name
- ST ANTHONY EMERGENCY SERVICES PHYSICIAN GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2875 W 19TH ST CHICAGO, IL 60623
- Location Phone
- (773) 484-4783
- Mailing Address
- 2001 S CALIFORNIA AVE CHICAGO, IL 60608
- Mailing Phone
- (773) 484-4783
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-14-2006
- Last Update Date
- 05-14-2024
- Code Navigator
Location Map
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
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0662517
- Facility Type
- Hospital
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. BATOOL HUZAIFA HUSAIN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to St Anthony Emergency Services Physician Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1760587703, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60623
CHICAGO, IL 60623
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760587703, enumerated as an "organization" on September 14, 2006.
The provider is located at 2875 W 19TH ST CHICAGO, IL 60623 and the phone number is (773) 484-4783.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
