Keeler Medical Center Sc

NPI 1265485304 - Family Medicine - 207Q00000X

NPI Details
NPI 1265485304
Enumeration Date 05/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIMBERLY A KIMBERLY
Position CEO
Phone (773) 826-7474
Fax
Practice Location
4215 W WASHINGTON BLVD
CHICAGO IL, 60624-2219, US
Phone (773) 826-7474
Fax
Business Location
4215 W WASHINGTON BLVD
CHICAGO IL, 60624-2219, US
Phone (773) 826-7474
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Keeler Medical Center Sc NPI is 1265485304, taxonomy code is 207Q00000X Keeler Medical Center Sc physically located at 4215 W Washington Blvd, Chicago IL, 60624-2219. NPI Number 1033115704 has the healthcare provider type.

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1265485304 NPI number is provided on an as is basis without warranty of any kind. 1265485304 is maintained by the National Plan & Provider Enumeration System. The contents of Keeler Medical Center Sc are for informational purposes only.