Portage Park Medical Group
Portage Park Medical Group is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
3401 N Central AveChicago, IL 60634-4426
Phone: (773) 286-8822
Fax: (773) 824-4997
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1184672966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Ansfield — Director · (773) 286-8822 |
| NPI enumerated | May 4, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3401 N Central Ave, Chicago, IL 60634-4426 |
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