| Nova Physician Group Pllc | |
|
1819 N Harlem Ave Chicago IL 60707-3716 | |
| (773) 589-4385 | |
| (872) 228-8601 |
| Full Name | Nova Physician Group Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1819 N Harlem Ave, Chicago, Illinois |
| Authorized Official Name and Position | Terrence Morton (SR. MEDICAL DIRECTOR) |
| Authorized Official Contact | 3127339730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Physician Group Pllc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (773) 352-1515 | Nova Physician Group Pllc 1819 N Harlem Ave Chicago IL 60707-3716 Ph: (773) 589-4385 |
| NPI Number | 1003662057 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003662057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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