| Michigan Ave Medical Associates Llc | |
|
845 N Michigan Ave Ste 930e Chicago IL 60611-2213 | |
| (312) 202-0700 | |
| Not Available |
| Full Name | Michigan Ave Medical Associates Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 845 N Michigan Ave Ste 930e, Chicago, Illinois |
| Authorized Official Name and Position | Roberto Diaz (SOLE MEMBER) |
| Authorized Official Contact | 3125215510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Ave Medical Associates Llc 845 N Michigan Ave Ste 910w Chicago IL 60611-2252 Ph: () - | Michigan Ave Medical Associates Llc 845 N Michigan Ave Ste 930e Chicago IL 60611-2213 Ph: (312) 202-0700 |
| NPI Number | 1366741456 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 03/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366741456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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