Prism Medical Center Of Il Nfp

NPI 1023101086 - Internal Medicine - 207R00000X

NPI Details
NPI 1023101086
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MOHAMMAD A MOHAMMAD
Position MEDICAL DIRECTOR
Phone (773) 262-1300
Fax (773) 262-1184
Practice Location
6346 N TALMAN AVE
STE # 102
CHICAGO IL, 60659-1898, US
Phone (773) 262-1300
Fax (773) 262-1184
Business Location
6346 N TALMAN AVE
STE # 102
CHICAGO IL, 60659-1898, US
Phone (773) 262-1300
Fax (773) 262-1184
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Prism Medical Center Of Il Nfp NPI is 1023101086, taxonomy code is 207R00000X Prism Medical Center Of Il Nfp physically located at 6346 N Talman Ave, Chicago IL, 60659-1898. NPI Number 1033115704 has the healthcare provider type.

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1023101086 NPI number is provided on an as is basis without warranty of any kind. 1023101086 is maintained by the National Plan & Provider Enumeration System. The contents of Prism Medical Center Of Il Nfp are for informational purposes only.