Organization · Type 2 NPI

Cook County

Family Medicine Physician · Blue Island, IL

NPI number 1700400744 Active

Practice location

12757 South Western Avenue
Blue Island, IL 60406

Mailing address

1900 W Polk St Ste 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.

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About NPI 1700400744

Cook County's National Provider Identifier is 1700400744, issued on Jun 5, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Blue Island, IL. The record was last updated on Jun 5, 2020.