Home Physicians 2011 Pc

NPI 1417235359 - Family Medicine - 207Q00000X

NPI Details
NPI 1417235359
Enumeration Date 07/26/2011
Last Updated 10/09/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name STEPHEN STEPHEN
Position ADMINISTRATOR, CREDENTIALING
Phone (773) 292-4800
Fax (312) 738-1624
Practice Location
1340 S DAMEN AVE
SUITE 210
CHICAGO IL, 60608-1169, US
Phone (773) 292-4800
Fax (312) 738-1624
Business Location
1340 S DAMEN AVE
SUITE 210
CHICAGO IL, 60608-1169, US
Phone (773) 292-4800
Fax (312) 738-1624
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1417235359 NPI Number
 

According to our database, Home Physicians 2011 Pc NPI is 1417235359, taxonomy code is 207Q00000X Home Physicians 2011 Pc physically located at 1340 S Damen Ave, Chicago IL, 60608-1169. NPI Number 1033115704 has the healthcare provider type.

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1417235359 NPI number is provided on an as is basis without warranty of any kind. 1417235359 is maintained by the National Plan & Provider Enumeration System. The contents of Home Physicians 2011 Pc are for informational purposes only.