institution
Chicago Monticello Medical Ctr
Non-Pharmacy Dispensing Site in Chicago, Illinois
NPI 1447265053

Chicago Monticello Medical Ctr is a Non-Pharmacy Dispensing Site based in Chicago, IL. Chicago Monticello Medical Ctr practices in Chicago, IL. The NPI Number for Chicago Monticello Medical Ctr is 1447265053 and holds a License No. (Illinois).

The current practice location address for Chicago Monticello Medical Ctr is 3623 W Chicago Ave, Chicago, IL and can be reached out via phone at 773-722-6171 and via fax at 773-722-7913.

Location: 3623 W Chicago Ave, Chicago, IL, 60651-3934
institution
Provider Profile Details
NPI Number
1447265053
Provider Name
Chicago Monticello Medical Ctr
Credential
Provider Entity Type
Organization
Address
3623 W Chicago Ave, Chicago, IL, 60651-3934
Phone Number
773-722-6171
Fax Number
773-722-7913
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1478723 01 OTHER ID NUMBER-COMMERCIAL NUMBER
1478723 01 OTHER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
3623 W Chicago Ave
City
State
Zip
60651-3934
Phone Number
773-722-6171
Fax Number
773-722-7913
person
Provider Business Mailing Address Details
Address
3623 W Chicago Ave
City
State
Zip
60651-3934
Phone Number
773-722-6171
Fax Number
773-722-7913
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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