Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otero Medical Center, SC

Organization Family Medicine Physician · NPI 1639306640

Otero Medical Center, SC 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

Practice location Address checks out

4911 W Fullerton Ave
Chicago, IL 60639-2505
Phone: (773) 772-4900
Fax: (773) 772-0298
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036102552 (IL)

Record details

NPI number1639306640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Otero — President · (773) 772-4900
NPI enumeratedJune 17, 2009
Last updated in NPPESAugust 8, 2013
Mailing address4911 W Fullerton Ave, Chicago, IL 60639-2505

Other providers in Chicago