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Specialty details in registry · Chicago, IL
At a glance
11150 S Western Ave, Chicago, IL 60643-3908
NPPES record updated Jul 6, 2023. Public records can lag behind changes at a practice.
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- 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
11150 S Western AveChicago, IL 60643-3908
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0801X
- Enumeration date
- Jul 6, 2023
- Record updated
- Jul 6, 2023
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QM0801X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11150 S Western AveChicago, IL 60643-3908
- Phone
- (773) 769-2139
Mailing address
8 S MICHIGAN AVE STE 1700CHICAGO, IL 606033353
Information may be outdated or incomplete.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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