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NORTHWEST AMBUCARE
NPI 1811965635
Clinic/Center - Podiatric in Chicago, IL

Active since March 08, 2006
4040 W PETERSON AVE, CHICAGO, IL 60646(773) 267-0554(773) 267-6258 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Ambucare NPPES

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

NORTHWEST AMBUCARE (NPI 1811965635) is a healthcare organization registered as a podiatric in Chicago, Illinois and active in the NPI registry since March 2006. The organization lists Tegan Augustine Thimesch, President, as its authorized official.

NPPES Registry Identity

NPI1811965635
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameNORTHWEST AMBUCARE
Location Address4040 W PETERSON AVEChicago, IL 60646-6019
Mailing Address4040 W Peterson AveChicago, IL 60646-6019 · (773) 267-0554 · Fax (773) 267-6258
Phone(773) 267-0554
Fax(773) 267-6258
Organization SubpartNo
Authorized OfficialTegan Augustine ThimeschPresident · (773) 267-0554
Enumeration DateMarch 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811965635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
4040 W PETERSON AVE, Chicago, IL 60646
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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.

DR TEGAN A TIMESH FOOTCARE CLINIC P.C.
Podiatrist (Foot & Ankle Surgery)
4040 W PETERSON AVE
CHICAGO, IL 60646
Cook County (773) 267-0554
MR. TEGAN AUGUSTINE THIMESCH I DPM
Podiatrist (Foot Surgery)
4040 W PETERSON AVE
CHICAGO, IL 60646
Cook County (773) 267-0554

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 Northwest Ambucare's NPI number?

The NPI number for Northwest Ambucare is 1811965635. It was assigned to this organization in the NPPES registry on March 8, 2006.

Where is Northwest Ambucare located?

Northwest Ambucare is located at 4040 W Peterson Ave, Chicago, IL 60646. The listed phone number is (773) 267-0554.

What is Northwest Ambucare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Northwest Ambucare was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.