Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

2001-15 N Parkside LLC

Organization Clinic/Center · NPI 1518607696

2001-15 N Parkside LLC is a Clinic/Center in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

405 N Wabash Ave Ste P2-A
Chicago, IL 60611-3744
Phone: (312) 955-4005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1518607696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mona Khan — Physician · (312) 955-4005
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing address18140 Audette St, Dearborn, MI 48124-4217

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