Crest Clinic LLC
Crest Clinic LLC is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2219 W Taylor StChicago, IL 60612-4424
Phone: (708) 323-7608
Fax: (708) 286-6461
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 · Licence 036116618 (IL) |
|---|
Record details
| NPI number | 1164750725 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Obidike Nwakudu — President · (708) 323-7608 |
| NPI enumerated | November 19, 2009 |
| Last updated in NPPES | November 26, 2014 |
| Mailing address | 2219 W Taylor St, Chicago, IL 60612-4424 |
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