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Asian Village Medical Clinic Pc
Clinic/Center in Chicago, Illinois
NPI 1548436892

Asian Village Medical Clinic Pc is a Clinic/Center based in Chicago, IL. Asian Village Medical Clinic Pc practices in Chicago, IL. The NPI Number for Asian Village Medical Clinic Pc is 1548436892 and holds a License No. 036089675 (Illinois).

The current practice location address for Asian Village Medical Clinic Pc is 5129 N Broadway St, Chicago, IL and can be reached out via phone at 774-275-4250 and via fax at 773-275-4263.

Location: 5129 N Broadway St, Chicago, IL, 60640-3018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548436892
Provider Name
Asian Village Medical Clinic Pc
Credential
Provider Entity Type
Organization
Address
5129 N Broadway St, Chicago, IL, 60640-3018
Phone Number
774-275-4250
Fax Number
773-275-4263
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20000433 05 IL
institution
Provider Business Practice Location Address Details
Address
5129 N Broadway St
City
Chicago
State
Illinois
Zip
60640-3018
Phone Number
774-275-4250
Fax Number
773-275-4263
person
Provider Business Mailing Address Details
Address
5129 N Broadway St
City
Chicago
State
Illinois
Zip
60640-3018
Phone Number
774-275-4250
Fax Number
773-275-4263
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
036089675 (Illinois)
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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