Organization · Type 2 NPI
Cook County
Primary Care Clinic/Center · Riverside, IL
NPI number
1497875298
Active
Practice location
1800 S. Harlem Ave
Riverside, IL 60546-1468
Mailing address
1900 W Polk St Rm 220C
Chicago, IL 60612-3723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 0005272 (IL) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1497875298
Cook County's National Provider Identifier is 1497875298, issued on Mar 29, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Riverside, IL. The record was last updated on Feb 13, 2020.