Organization · Type 2 NPI
Cook County
Student Health Clinic/Center · Chicago, IL
NPI number
1972623528
Active
Practice location
4934 S Wabash Ave Rm 165
Chicago, IL 60615-2136
Mailing address
1110 S Oakley Blvd, Room 200
Chicago, IL 60612-4218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | 0004549 (IL) |
Student Health Clinic/Center: Definition to come...
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About NPI 1972623528
Cook County's National Provider Identifier is 1972623528, issued on Mar 29, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.