Chicago State University - Chicago, IL

Chicago State University

Clinic/Center in Chicago, Illinois

NPI 1861928509

Chicago State University is a Clinic/Center based in Chicago, IL. Chicago State University practices in Chicago, IL. The NPI Number for Chicago State University is 1861928509 and holds a License No. 209015881 (Illinois).

The current practice location address for Chicago State University is 11228 S Emerald Ave, Chicago, IL and can be reached out via phone at 773-821-7155.

Location: 11228 S Emerald Ave, Chicago, IL, 60628-4707

NPI Number

1861928509

Provider Name

Chicago State University

Credential

Provider Entity Type

Organization

Address

11228 S Emerald Ave, Chicago, IL, 60628-4707

Phone Number

773-821-7155

Fax Number

Provider Enumeration Date

05/01/2017

Last Update Date

03/09/2024

Address

11228 S Emerald Ave

City

Chicago

State

Illinois

Zip

60628-4707

Phone Number

773-821-7155

Fax Number

Address

11228 S Emerald Ave

City

Chicago

State

Illinois

Zip

60628-4707

Phone Number

773-821-7155

Fax Number

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

209015881 (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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