Organization · Type 2 NPI

Cook County

Primary Care Clinic/Center · Chicago, IL

NPI number 1396865077 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

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X0004549 (IL)

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

9 other providers at this address

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About NPI 1396865077

Cook County's National Provider Identifier is 1396865077, 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 Feb 22, 2019.