| Chicago Family Medical Center Inc | |
|
1512 W Chicago Ave Suite 1 Chicago IL 60642-5204 | |
| (630) 495-3333 | |
| Not Available |
| Full Name | Chicago Family Medical Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1512 W Chicago Ave, Chicago, Illinois |
| Authorized Official Name and Position | Mohammed Riazuddin (PRESIDENT) |
| Authorized Official Contact | 6304953333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Family Medical Center Inc 1512 W Chicago Ave Suite 1 Chicago IL 60642-5204 Ph: (630) 495-3333 | Chicago Family Medical Center Inc 1512 W Chicago Ave Suite 1 Chicago IL 60642-5204 Ph: (630) 495-3333 |
| NPI Number | 1396155669 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 05/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396155669 | NPI | - | NPPES |
| 1588755409 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036065312 (Illinois) | Primary |
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