Organization · Type 2 NPI
Augusta Damen Medical Center Ltd
General Practice Physician · Chicago, IL
NPI number
1730353624
Active
Practice location
948 N Damen Ave
Chicago, IL 60622-4910
Fax (773) 276-2726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 036068577 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
4 other providers at this address
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About NPI 1730353624
Augusta Damen Medical Center Ltd's National Provider Identifier is 1730353624, issued on Apr 22, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 6, 2008.