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

Viru SC

Organization Family Medicine Physician · NPI 1922294503

Viru SC is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

2412 W Fullerton Ave
Chicago, IL 60647-3155
Phone: (773) 423-6178
Fax: (773) 451-8285
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 036-115930 (IL)

Record details

NPI number1922294503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Olivo — President · (773) 716-7281
NPI enumeratedSeptember 18, 2007
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021
Mailing address2412 W Fullerton Ave, Chicago, IL 60647-3155

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