Organization · Type 2 NPI

Cook County

Multi-Specialty Clinic/Center · Chicago, IL

NPI number 1386110674 Active

Practice location

1950 W Polk St
Chicago, IL 60612-3723

Mailing address

1900 W Polk St
Chicago, IL 60612-3723

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1386110674

Cook County's National Provider Identifier is 1386110674, issued on Oct 15, 2018. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Chicago, IL. The record was last updated on Oct 15, 2018.