institution
Illinois Medical Group Sc
Multi-Specialty Clinic/Center in Chicago, Illinois
NPI 1649219007

Illinois Medical Group Sc is a Multi-Specialty Clinic/Center based in Chicago, IL and is specialized in Multi-Specialty. Illinois Medical Group Sc practices in Chicago, IL. The NPI Number for Illinois Medical Group Sc is 1649219007 and holds a License No. 042618822 (Illinois).

The current practice location address for Illinois Medical Group Sc is 4211 N Cicero Ave, Chicago, IL and can be reached out via phone at 773-545-6900 and via fax at 773-685-2481.

Location: 4211 N Cicero Ave, Chicago, IL, 60641-1651
institution
Provider Profile Details
NPI Number
1649219007
Provider Name
Illinois Medical Group Sc
Credential
Provider Entity Type
Organization
Address
4211 N Cicero Ave, Chicago, IL, 60641-1651
Phone Number
773-545-6900
Fax Number
773-685-2481
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG1734 01 IL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4211 N Cicero Ave
City
State
Zip
60641-1651
Phone Number
773-545-6900
Fax Number
773-685-2481
person
Provider Business Mailing Address Details
Address
4211 N Cicero Ave
City
State
Zip
60641-1651
Phone Number
773-545-6900
Fax Number
773-685-2481
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
042618822 (Illinois)
Definition
Definition to come...
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