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Specialty details in registry · Chicago, IL
At a glance
1147 S Wabash Ave, Chicago, IL 60605-2346
NPPES record updated Mar 23, 2015. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1147 S Wabash Ave Suite 250AChicago, IL 60605-2346
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 208D00000X
- Enumeration date
- Mar 23, 2015
- Record updated
- Mar 23, 2015
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
208D00000X · Primary
License reported: AU3890402 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1147 S Wabash AveSuite 250A
Chicago, IL 60605-2346
- Phone
- (312) 477-3985
Mailing address
1147 S WABASH AVESUITE 250A
CHICAGO, IL 606052346
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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