Illinois Medical Group SC
Illinois Medical Group SC is a Multi-Specialty Clinic/Center 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
4211 N Cicero AveChicago, IL 60641-1651
Phone: (773) 545-6900
Fax: (773) 685-2481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X · Licence 042618822 (IL) |
|---|
Record details
| NPI number | 1649219007 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sarmed Elias — President · (773) 545-6900 |
| NPI enumerated | June 4, 2006 |
| Last updated in NPPES | June 12, 2008 |
| Mailing address | 4211 N Cicero Ave, Chicago, IL 60641-1651 |
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