Organization · Type 2 NPI

Cook County

Family Medicine Physician · Chicago, IL

NPI number 1568093557 Active

Practice location

4800 W Chicago Ave
Chicago, IL 60651-3226

Mailing address

1900 W Polk St Rm 220C
Chicago, IL 60612-3723

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11 other providers at this address

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About NPI 1568093557

Cook County's National Provider Identifier is 1568093557, issued on Jan 29, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 24, 2026.