Organization · Type 2 NPI

Cook County

Primary Care Clinic/Center · Chicago, IL

NPI number 1295855096 Active

Practice location

1135 W 69th St
Chicago, IL 60621-1147

Call (773) 483-5011 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X0005272 (IL)

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

7 other providers at this address

Other primary care clinic/center providers in Chicago

See all in Chicago →

About NPI 1295855096

Cook County's National Provider Identifier is 1295855096, issued on Mar 29, 2007. 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 Jan 25, 2022.