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