Known Chicago Sc is a
Family Medicine based in Westmont, Illinois. Known Chicago Sc is licensed to practice in * (Not Available) (license number ) and their current practice location is
460 Quail Ridge Dr, Westmont, Illinois. It can be reached at their office (for appointments etc.) via phone at
(630) 986-2800.
NPI number for Known Chicago Sc is 1700609484 and their current mailing address is 460 Quail Ridge Dr, Westmont, Illinois. Known Chicago Sc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700609484.
Healthcare Provider's Profile
| Full Name | Known Chicago Sc |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 460 Quail Ridge Dr, Westmont, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700609484
- Provider Enumeration Date: 11/01/2024
- Last Update Date: 12/22/2025
Medical Identifiers
Medical identifiers for Known Chicago Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700609484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 2080B0002X | Pediatrics - Obesity Medicine | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Known Chicago Sc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Known Chicago Sc
460 Quail Ridge Dr,
Westmont, IL 60559-6145
Ph: (630) 986-2800 | Known Chicago Sc
460 Quail Ridge Dr,
Westmont, IL 60559-6145
Ph: (630) 986-2800 |
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