Med-Ped Medical Center SC
Med-Ped Medical Center SC is an Internal Medicine Physician in Chicago, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
5939 W Diversey AveChicago, IL 60639-1155
Phone: (773) 637-1600
Fax: (773) 637-1520
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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 | 1629641477 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Walter Plasencia — Owner · (773) 637-1600 |
| NPI enumerated | July 20, 2021 |
| Last updated in NPPES | July 20, 2021 |
| Certification date | July 20, 2021 |
| Mailing address | 5939 W Diversey Ave, Chicago, IL 60639-1155 |
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