Chicago State University
Chicago State University is a Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
11228 S Emerald AveChicago, IL 60628-4707
Phone: (773) 821-7155
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
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 209015881 (IL) |
|---|
Record details
| NPI number | 1861928509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Young — Chairperson · (773) 995-2000 |
| NPI enumerated | May 1, 2017 |
| Last updated in NPPES | May 1, 2017 |
| Mailing address | 11228 S Emerald Ave, Chicago, IL 60628-4707 |
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