Organization · Type 2 NPI

111th Pharma-Family

Health Service Clinic/Center · Chicago, IL

NPI number 1659616175 Active

Practice location

11101 S State St
Chicago, IL 60628-4206

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100X051035317 (IL)

Health Service Clinic/Center: Definition to come...

7 other providers at this address

Other health service clinic/center providers in Chicago

See all in Chicago →

About NPI 1659616175

111th Pharma-Family's National Provider Identifier is 1659616175, issued on Dec 10, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Chicago, IL. The record was last updated on Dec 10, 2012.