| Aligned Modern Health | |
|
3514 N Southport Ave Chicago IL 60657-1436 | |
| (773) 248-2544 | |
| (505) 213-3515 |
| Full Name | Aligned Modern Health |
|---|---|
| Speciality | Clinic/center |
| Location | 3514 N Southport Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jeremy Bonsol (DIRECTOR) |
| Authorized Official Contact | 7736635351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aligned Modern Health 3514 N Southport Ave Chicago IL 60657-1436 Ph: (773) 248-2544 | Aligned Modern Health 3514 N Southport Ave Chicago IL 60657-1436 Ph: (773) 248-2544 |
| NPI Number | 1013210269 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013210269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
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