26th Street Medical, S.c.

NPI 1053518720 - Specialist - 174400000X

NPI Details
NPI 1053518720
Enumeration Date 06/27/2007
Last Updated 03/19/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANNA ANNA
Position OFFICE ADMINISTRATOR
Phone (773) 522-5200
Fax (773) 522-5356
Practice Location
3814 W 26TH ST
CHICAGO IL, 60623-3807, US
Phone (773) 522-5200
Fax (773) 522-5356
Business Location
3814 W 26TH ST
CHICAGO IL, 60623-3807, US
Phone (773) 522-5200
Fax (773) 522-5356
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, 26th Street Medical, S.c. NPI is 1053518720, taxonomy code is 174400000X 26th Street Medical, S.c. physically located at 3814 W 26th St, Chicago IL, 60623-3807. NPI Number 1033115704 has the healthcare provider type.

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1053518720 NPI number is provided on an as is basis without warranty of any kind. 1053518720 is maintained by the National Plan & Provider Enumeration System. The contents of 26th Street Medical, S.c. are for informational purposes only.