Cook County Valid NPI
Organization · Health Service Clinic/Center · Chicago, IL
- NPI
- 1336268143
- Type
- Organization (Type 2)
- Primary specialty
- Health Service Clinic/Center (Clinic/Center)
- Specialty group
- Ambulatory Health Care Facilities
- Taxonomy code
- 261QH0100X
- License number
- 0005272 (IL)
- Enumerated
- 2007-03-29
- Last updated
- 2019-02-22
Practice location
1240 S Damen Ave
Chicago, IL 60608-1122
(312) 492-3860