Northwest Chicago Medical Ltd

NPI 1063693323 - Clinic/Center - 261QA1903X

NPI Details
NPI 1063693323
Enumeration Date 11/15/2007
Last Updated 11/12/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JACK JACK
Position PRESIDENT
Phone (773) 745-0391
Fax (773) 745-3506
Practice Location
2651 N LARAMIE AVE
CHICAGO IL, 60639-1613, US
Phone (773) 745-0391
Fax (773) 745-3506
Business Location
2651 N LARAMIE AVE
CHICAGO IL, 60639-1613, US
Phone (773) 745-0391
Fax (773) 745-3506
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Northwest Chicago Medical Ltd NPI is 1063693323, taxonomy code is 261QA1903X Northwest Chicago Medical Ltd physically located at 2651 N Laramie Ave, Chicago IL, 60639-1613. NPI Number 1033115704 has the healthcare provider type.

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1063693323 NPI number is provided on an as is basis without warranty of any kind. 1063693323 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Chicago Medical Ltd are for informational purposes only.