Roosevelt Road Clinic MD SC
Roosevelt Road Clinic MD SC is an Internal Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
3600 W Roosevelt RdChicago, IL 60624-4225
Phone: (773) 638-6761
Fax: (773) 638-6984
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 · Licence 036056560 (IL) |
|---|
Record details
| NPI number | 1952765232 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Subarna Pradhan — President · (773) 638-6761 |
| NPI enumerated | April 12, 2016 |
| Last updated in NPPES | April 12, 2016 |
| Mailing address | 3600 W Roosevelt Rd, Chicago, IL 60624-4225 |
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