Oak Street Health: Edgewater

NPI 1194164202 - Clinic/Center - 261QP2300X

NPI Details
NPI 1194164202
Enumeration Date 06/21/2013
Last Updated 06/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GRIFFIN GRIFFIN
Position CHIEF MEDICAL OFFICER
Phone (312) 810-8763
Fax
Practice Location
1541 W DEVON AVE
CHICAGO IL, 60660-1313, US
Phone (312) 810-8763
Fax
Business Location
327 W BELDEN AVE
#3
CHICAGO IL, 60614-3817, US
Phone
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
Remove 1194164202 NPI Number
 

According to our database, Oak Street Health: Edgewater NPI is 1194164202, taxonomy code is 261QP2300X Oak Street Health: Edgewater physically located at 1541 W Devon Ave, Chicago IL, 60660-1313. NPI Number 1033115704 has the healthcare provider type.

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1194164202 NPI number is provided on an as is basis without warranty of any kind. 1194164202 is maintained by the National Plan & Provider Enumeration System. The contents of Oak Street Health: Edgewater are for informational purposes only.