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

Bridgeport Family Medical Center SC

Organization General Practice Physician · NPI 1124330295

Bridgeport Family Medical Center SC is a General Practice Physician in Chicago, Illinois. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

3201 S Wallace St
Chicago, IL 60616-3501
Phone: (312) 326-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1124330295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerrold Schwartz — President · (312) 326-3200
NPI enumeratedJuly 6, 2010
Last updated in NPPESJuly 6, 2010
Mailing address3201 S Wallace St, Chicago, IL 60616-3501

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