Organization

Northwest Medical And Urgent Care Center At South Shore Llc

Clinic/Center in Chicago, IL(View on Map)

Legal Business Name

Northwest Medical And Urgent Care Center At South Shore Llc

NPI Number

1235625138

NPI Type

Organization

Enumeration Date

07/03/2018

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

5352 N LINCOLN AVE
1952 E 73RD ST

City

Chicago
Chicago

State

IL
IL

Postal Code

60625-2316
60649-2902

Country

US
US

Telephone Number

(773) 353-5047
(773) 493-5600

Authorized Official

Name

Mrs. Tamara Petrov

Title or Position

OFFICE MANAGER

Telephone Number

(773) 353-5047

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/03/2018

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