Organization · Type 2 NPI

Clinic 1, LLC

Family Medicine Physician · Chicago, IL

NPI number 1760858633 Active

Practice location

4759 N Kedzie Ave, Suite 100
Chicago, IL 60625-4420

Call (773) 685-9900 Map

Fax (773) 685-9910

Mailing address

5901 N Cicero Ave, Suite 400
Chicago, IL 60646-5717

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Body Imaging Physician 2085B0100XNone listed
Physician Assistant 363A00000XNone 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.

2 other providers at this address

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About NPI 1760858633

Clinic 1, LLC's National Provider Identifier is 1760858633, issued on Aug 14, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 14, 2015.