Independent Physicians' Aco Of Chicago, Llc

NPI 1174903512 - Internal Medicine - 207R00000X

NPI Details
NPI 1174903512
Enumeration Date 06/01/2015
Last Updated 06/01/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JOHN JOHN
Position PRESIDENT
Phone (773) 989-6262
Fax
Practice Location
2740 W FOSTER AVE
SUITE 116
CHICAGO IL, 60625-3500, US
Phone (773) 989-6262
Fax
Business Location
2740 W FOSTER AVE
SUITE 116
CHICAGO IL, 60625-3500, US
Phone (773) 989-6262
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1174903512 NPI Number
 

According to our database, Independent Physicians' Aco Of Chicago, Llc NPI is 1174903512, taxonomy code is 207R00000X Independent Physicians' Aco Of Chicago, Llc physically located at 2740 W Foster Ave, Chicago IL, 60625-3500. NPI Number 1033115704 has the healthcare provider type.

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1174903512 NPI number is provided on an as is basis without warranty of any kind. 1174903512 is maintained by the National Plan & Provider Enumeration System. The contents of Independent Physicians' Aco Of Chicago, Llc are for informational purposes only.