Organization · Type 2 NPI

Gabisa Medical Chicago PLLC

Primary Care Clinic/Center · Chicago, IL

NPI number 1104563121 Active

Practice location

3504 N Broadway St
Chicago, IL 60657-1826

Call (773) 697-8676 Map

Fax (888) 929-2371

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1104563121

Gabisa Medical Chicago PLLC's National Provider Identifier is 1104563121, issued on May 20, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chicago, IL. The record was last updated on May 20, 2022.