| Iora Health Illinois Physicians, P.c. | |
|
611 W Roosevelt Rd Chicago IL 60607-4911 | |
| (773) 570-3382 | |
| (773) 453-8116 |
| Full Name | Iora Health Illinois Physicians, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 W Roosevelt Rd, Chicago, Illinois |
| Authorized Official Name and Position | Marc-david Munk (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6174544672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iora Health Illinois Physicians, P.c. 101 Tremont St Fl 6 Boston MA 02108-5004 Ph: (617) 454-4672 | Iora Health Illinois Physicians, P.c. 611 W Roosevelt Rd Chicago IL 60607-4911 Ph: (773) 570-3382 |
| NPI Number | 1801268255 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801268255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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