Organization · Type 2 NPI

Southside Primary Care Group SC

Internal Medicine Physician · Chicago, IL

NPI number 1417403072 Active

Practice location

7531 S Stony Island Ave, Suite 164
Chicago, IL 60649-3954

Call (773) 947-2831 Map

Mailing address

1720 S Michigan Ave Apt 2909
Chicago, IL 60616-4861

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X036111469 (IL)
Internal Medicine Physician Primary 207R00000X036111469 (IL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1417403072

Southside Primary Care Group SC's National Provider Identifier is 1417403072, issued on Sep 1, 2016. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 7, 2026.