COOK COUNTY

NPI # 

Practice Address:

3525 S Michigan Ave

Chicago, IL, 60653-1019

Practice Phone:

312-945-4010

License Number:

0004549

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X