Organization · Type 2 NPI

Cook County

Family Medicine Physician · Chicago, IL

NPI number 1912063439 Active

Practice location

605 S Wolcott Ave, Suite 605
Chicago, IL 60612

Call (312) 864-4649 Map

Fax (312) 864-9763

Mailing address

15900 South Cicero Avenue
Oak Forest, IL 60452-4000

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 1912063439

Cook County's National Provider Identifier is 1912063439, issued on Dec 29, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 23, 2024.