Organization · Type 2 NPI
South Side Medical Group Ltd.
Specialist · Chicago, IL
NPI number
1427288273
Active
Practice location
1111 E 87th St Ste 100B
Chicago, IL 60619-7062
Fax (773) 767-3944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 038010670 (IL) |
| Specialist Primary | 174400000X | 036113409 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1427288273
South Side Medical Group Ltd.'s National Provider Identifier is 1427288273, issued on Jul 15, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Jul 15, 2009.