Chicago Community Medical Center
Chicago Community Medical Center is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
2404 E 79th StChicago, IL 60649-5112
Phone: (773) 978-5900
Fax: (773) 978-7656
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (IL) |
|---|
Record details
| NPI number | 1306851233 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Prem Paul — Treasurer · (773) 978-5900 |
| NPI enumerated | July 29, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 155 Harbor Point #5212, Chicago, IL 60601-7381 |
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