Organization · Type 2 NPI

Chicago Monticello Medical CTR

Non-Pharmacy Dispensing Site · Chicago, IL

NPI number 1447265053 Active

Practice location

3623 W Chicago Ave
Chicago, IL 60651-3934

Call (773) 722-6171 Map

Fax (773) 722-7913

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

3 other providers at this address

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About NPI 1447265053

Chicago Monticello Medical CTR's National Provider Identifier is 1447265053, issued on Jul 30, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Chicago, IL. The record was last updated on Nov 19, 2007.