|Entity Type||Healthcare Provider|
|Active||Over 4 years ago|
|4646 N MARINE DR
CHICAGO IL, 60640-5759, US
|6025 N HIAWATHA AVE
CHICAGO IL, 60646-5825, US
|Remove 1548609514 NPI Number|
According to our database, We NPI is 1548609514, taxonomy code is 282E00000X and license number is 125062810, license state is located at Illinois. We physically located at 4646 N Marine Dr, Chicago IL, 60640-5759. NPI Number 1033115704 has the healthcare provider type.
1548609514 NPI number is provided on an as is basis without warranty of any kind. 1548609514 is maintained by the National Plan & Provider Enumeration System. The contents of We are for informational purposes only.