NPIRadar

111th Pharma-Family Valid NPI

Organization · Health Service Clinic/Center · Chicago, IL

NPI
1659616175
Type
Organization (Type 2)
Primary specialty
Health Service Clinic/Center (Clinic/Center)
Specialty group
Ambulatory Health Care Facilities
Taxonomy code
261QH0100X
License number
051035317 (IL)
Enumerated
2012-12-10
Last updated
2012-12-10
Practice location
11101 S State St
Chicago, IL 60628-4206
(708) 503-9845

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