Logan Square Medical Institute SC
Logan Square Medical Institute SC is an Internal Medicine Physician in Chicago, Illinois. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
3061 W Logan BlvdChicago, IL 60647-1707
Phone: (773) 772-7899
Fax: (773) 772-7896
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1447559000 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gonzalo Ruiz — Physician · (773) 772-7899 |
| NPI enumerated | March 22, 2011 |
| Last updated in NPPES | February 9, 2015 |
| Mailing address | 3061 W. Logan Blvd, Chicago, IL 60647 |
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