Organization · Type 2 NPI

Maxicare Visiting Physician, Inc

Health Service Clinic/Center · Chicago, IL

NPI number 1245753755 Active

Practice location

3300 W Peterson Ave, Suite H
Chicago, IL 60659

Call (773) 961-7580 Map

Mailing address

3300 W Peterson Ave Ste H
Chicago, IL 60659-3585

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

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About NPI 1245753755

Maxicare Visiting Physician, Inc's National Provider Identifier is 1245753755, issued on Jul 18, 2017. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Chicago, IL. The record was last updated on Jul 18, 2017.