Organization · Type 2 NPI

Jefferson Park Medical Center, Ltd.

Medical Specialty Clinic/Center · Chicago, IL

NPI number 1952577926 Active

Practice location

4955 N Milwaukee Ave Ste 4
Chicago, IL 60630-2175

Fax (773) 736-1403

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X042.619228 (IL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1952577926

Jefferson Park Medical Center, Ltd.'s National Provider Identifier is 1952577926, issued on Apr 30, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Chicago, IL. The record was last updated on Apr 30, 2008.