institution
Fullerton Kimball Medical Group Sc
Multi-Specialty Clinic/Center in Chicago, Illinois
NPI 1831213081

Fullerton Kimball Medical Group Sc is a Multi-Specialty Clinic/Center based in Chicago, IL and is specialized in Multi-Specialty. Fullerton Kimball Medical Group Sc practices in Chicago, IL. The NPI Number for Fullerton Kimball Medical Group Sc is 1831213081 and holds a License No. (Illinois).

The current practice location address for Fullerton Kimball Medical Group Sc is 3412 W Fullerton Ave, Chicago, IL and can be reached out via phone at 773-235-8000.

Location: 3412 W Fullerton Ave, Chicago, IL, 60647-2416
institution
Provider Profile Details
NPI Number
1831213081
Provider Name
Fullerton Kimball Medical Group Sc
Credential
Provider Entity Type
Organization
Address
3412 W Fullerton Ave, Chicago, IL, 60647-2416
Phone Number
773-235-8000
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01635426 01 IL BCBS GROUP
036088691 4 05 IL
institution
Provider Business Practice Location Address Details
Address
3412 W Fullerton Ave
City
State
Zip
60647-2416
Phone Number
773-235-8000
Fax Number
person
Provider Business Mailing Address Details
Address
3412 W Fullerton Ave
City
State
Zip
60647-2416
Phone Number
773-235-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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