Organization · Type 2 NPI

Illinois Medical Group SC

Multi-Specialty Clinic/Center · Chicago, IL

NPI number 1649219007 Active

Practice location

4211 N Cicero Ave
Chicago, IL 60641-1651

Fax (773) 685-2481

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X042618822 (IL)

Multi-Specialty Clinic/Center: Definition to come...

25 other providers at this address

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About NPI 1649219007

Illinois Medical Group SC's National Provider Identifier is 1649219007, issued on Jun 4, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Chicago, IL. The record was last updated on Jun 12, 2008.