Organization · Type 2 NPI

Asian Village Medical Clinic PC

Clinic/Center · Chicago, IL

NPI number 1548436892 Active

Practice location

5129 N Broadway St, Suite E
Chicago, IL 60640-3018

Fax (773) 275-4263

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X036089675 (IL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1548436892

Asian Village Medical Clinic PC's National Provider Identifier is 1548436892, issued on May 7, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 30, 2010.