Southwest Medical Affiliates, Pc
Specialty details in registry · Chicago Ridge, IL
At a glance
5630 111Th St, Chicago Ridge, IL 60415-2406
NPPES record updated Nov 20, 2012. 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
5630 111Th StChicago Ridge, IL 60415-2406
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 213ES0103X
- Enumeration date
- May 2, 2007
- Record updated
- Nov 20, 2012
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Internal Medicine
207R00000X
License reported: 036063034 IL
Pediatrics
208000000X
License reported: 036063793 IL
Specialty details in registry
213ES0103X · Primary
License reported: 016004378 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
5630 111Th StChicago Ridge, IL 60415-2406
- Phone
- (708) 857-5800
- Fax
- (708) 857-5805
Mailing address
5630 111TH STCHICAGO RIDGE, IL 604152406
Information may be outdated or incomplete.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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