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

Southtown Medical Center, LLC

Organization Family Medicine Physician · NPI 1629022058

Southtown Medical Center, LLC is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6342 S Pulaski Rd
Chicago, IL 60629-4706
Phone: (773) 284-8601
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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 (IL)
Pediatrics Physician Taxonomy 208000000X (IL)
General Practice Physician Taxonomy 208D00000X (IL)

Record details

NPI number1629022058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkata Vallury — Ceo · (773) 284-8601
NPI enumeratedMay 20, 2006
Last updated in NPPESMay 2, 2008
Mailing address6342 S Pulaski Rd, Chicago, IL 60629-4706

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