Chicago State University
Clinic / Center · Chicago, IL
At a glance
11228 S Emerald Ave, Chicago, IL 60628-4707
NPPES record updated May 1, 2017. 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
11228 S Emerald AveChicago, IL 60628-4707
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinic / Center
- Taxonomy code
- 261Q00000X
- Enumeration date
- May 1, 2017
- Record updated
- May 1, 2017
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Clinic / Center
261Q00000X · Primary
License reported: 209015881 IL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11228 S Emerald AveChicago, IL 60628-4707
- Phone
- (773) 821-7155
Mailing address
11228 S EMERALD AVECHICAGO, IL 606284707
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue