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2001-15 N Parkside Llc
Clinic/Center in Chicago, Illinois
NPI 1518607696

2001-15 N Parkside Llc is a Clinic/Center based in Dearborn, IL. 2001-15 N Parkside Llc practices in Chicago, IL. The NPI Number for 2001-15 N Parkside Llc is 1518607696 and holds a License No. (Illinois).

The current practice location address for 2001-15 N Parkside Llc is 405 N Wabash Ave Ste P2-A, Chicago, IL and can be reached out via phone at 312-955-4005.

Location: 405 N Wabash Ave Ste P2-A, Chicago, IL, 48124-4217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518607696
Provider Name
2001-15 N Parkside Llc
Credential
Provider Entity Type
Organization
Address
405 N Wabash Ave Ste P2-A, Chicago, IL, 48124-4217
Phone Number
312-955-4005
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
405 N Wabash Ave Ste P2-A
City
Chicago
State
Illinois
Zip
60611-3744
Phone Number
312-955-4005
Fax Number
person
Provider Business Mailing Address Details
Address
405 N Wabash Ave Ste P2-A
City
Chicago
State
Illinois
Zip
60611-3744
Phone Number
312-955-4005
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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