| Kedzie Medical Clinic Inc | |
|
262 N Kedzie Ave Chicago IL 60612-1869 | |
| (847) 904-7500 | |
| Not Available |
| Full Name | Kedzie Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 262 N Kedzie Ave, Chicago, Illinois |
| Authorized Official Name and Position | Gohar Akopyan (CMM) |
| Authorized Official Contact | 8479047500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kedzie Medical Clinic Inc 262 N Kedzie Ave Chicago IL 60612-1869 Ph: () - | Kedzie Medical Clinic Inc 262 N Kedzie Ave Chicago IL 60612-1869 Ph: (847) 904-7500 |
| NPI Number | 1558593947 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558593947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
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