COOK COUNTY

NPI # 

Practice Address:

3410 W Van Buren St

Chicago, IL, 60624-3358

Practice Phone:

773-265-2800

License Number:

0005272

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X

Updated by NPPES on 8/22/2020. You can view the original data set for NPI # 1124148366 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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COOK COUNTY's

CMS CPT® coding data

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COOK COUNTY's

CMS prescription data

Nearby Clinic/Center Physicians

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