COOK COUNTY

NPI # 

Practice Address:

4934 S Wabash Ave Rm 165

Chicago, IL, 60615-2136

Practice Phone:

773-548-3651

License Number:

0004549

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Student Health

Taxonomy Code:

261QS1000X

Updated by NPPES on 8/22/2020. You can view the original data set for NPI # 1972623528 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 If the information about this NPI provider/company is outdated you can request updates through the NPPES website.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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