HERMOSA MEDICAL & DIAGNOSTIC CENTER INC
NPI 1962615674
General Practice in Chicago, IL

Q: What is Hermosa Medical & Diagnostic Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 08, 2007

2004 N. PULASKI RD, CHICAGO, IL 60639(773) 772-8876(773) 252-3091 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Hermosa Medical & Diagnostic Center Inc NPPES

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

HERMOSA MEDICAL & DIAGNOSTIC CENTER INC (NPI 1962615674), doing business as Hermosa Medical & Diagnostic Center, is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Ragda A. Sharifeh, President, as its authorized official.

NPPES Registry Identity

NPI1962615674

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameHERMOSA MEDICAL & DIAGNOSTIC CENTER INC

Location Address2004 N. PULASKI RDChicago, IL 60639-3767

Mailing Address2004 N. Pulaski RdChicago, IL 60639-3767 · (773) 772-8876 · Fax (773) 252-3091

Phone(773) 772-8876

Fax(773) 252-3091

Organization SubpartNo

Authorized OfficialRagda A. SharifehPresident · (773) 772-8876

Enumeration DateMay 8, 2007

Last NPPES UpdateJune 14, 2016

✔ NPI 1962615674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2004 N. PULASKI RD, Chicago, IL 60639

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Other Names 1

Former Legal Business NameHermosa Medical & Diagnostic Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Hermosa Medical & Diagnostic Center Inc's NPI number?

The NPI number for Hermosa Medical & Diagnostic Center Inc is 1962615674. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider was formerly known as Hermosa Medical & Diagnostic Center.

Where is Hermosa Medical & Diagnostic Center Inc located?

Hermosa Medical & Diagnostic Center Inc is located at 2004 N. Pulaski Rd, Chicago, IL 60639. The listed phone number is (773) 772-8876.

What is Hermosa Medical & Diagnostic Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Hermosa Medical & Diagnostic Center Inc was last updated on June 14, 2016. 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.