| Loretto Hospital Physician Group | |
|
645 S Central Ave Chicago IL 60644-5059 | |
| (773) 854-5430 | |
| Not Available |
| Full Name | Loretto Hospital Physician Group |
|---|---|
| Speciality | General Practice |
| Location | 645 S Central Ave, Chicago, Illinois |
| Authorized Official Name and Position | Cathy Williams (DIRECTOR OF BUSINESS OFFICE) |
| Authorized Official Contact | 7738545066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loretto Hospital Physician Group 645 S Central Ave Chicago IL 60644-5059 Ph: () - | Loretto Hospital Physician Group 645 S Central Ave Chicago IL 60644-5059 Ph: (773) 854-5430 |
| NPI Number | 1306318753 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306318753 | NPI | - | NPPES |
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