Organization · Type 2 NPI
South Lake Medical Services, Ltd
Adult Day Care Clinic/Center · Chicago, IL
NPI number
1407023849
Active
Practice location
2621 E 75th St
Chicago, IL 60649-3705
Fax (773) 375-8279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | 036049708 (IL) |
Adult Day Care Clinic/Center: Definition to come...
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About NPI 1407023849
South Lake Medical Services, Ltd's National Provider Identifier is 1407023849, issued on May 14, 2008. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Chicago, IL. The record was last updated on May 14, 2008.