Organization · Type 2 NPI

Cook County

Family Medicine Physician · Chicago, IL

NPI number 1194356089 Active

Practice location

3525 S Michigan Ave
Chicago, IL 60653-1019

Call (312) 945-4010 Map

Mailing address

1900 W Polk St Rm 220C
Chicago, IL 60612-3723

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 other providers at this address

Other family medicine physician providers in Chicago

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NPI record

NPI: 1194356089
Entity type: Organization (Type 2)
Issued: Jan 29, 2020
Last updated: Mar 2, 2020
Status: Active
Subpart: Yes of Cook County

Other names

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Near South Health Center (ffs) · doing business as
Near South Health Center (ffs) · doing business as

Authorized official

Scott Andrle
Director of Managed Care Operations
(312) 864-4649

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194356089

Cook County's National Provider Identifier is 1194356089, issued on Jan 29, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Mar 2, 2020.