MD2 Chicago
MD2 Chicago is an Exclusive Provider Organization in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
676 N Michigan Ave Ste 3120Chicago, IL 60611-2883
Phone: (312) 780-2301
Fax: (312) 780-2304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 036082176 (IL) |
|---|
Record details
| NPI number | 1568742542 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Hennessy — President · (312) 780-2301 |
| NPI enumerated | August 23, 2011 |
| Last updated in NPPES | August 23, 2011 |
| Mailing address | 676 N Michigan Ave, Suite 3120, Chicago, IL 60611-2883 |
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