Parkwest Family Practice Sc | |
2526 N Lincoln Ave Chicago IL 60614-2353 | |
(773) 929-7410 | |
Not Available |
Full Name | Parkwest Family Practice Sc |
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Speciality | Family Medicine |
Location | 2526 N Lincoln Ave, Chicago, Illinois |
Authorized Official Name and Position | Indira Shah (OWNER / PROVIDER) |
Authorized Official Contact | 7739297410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Parkwest Family Practice Sc 75 Remittance Dr Dept 1704 Chicago IL 60675-1704 Ph: (727) 823-2188 | Parkwest Family Practice Sc 2526 N Lincoln Ave Chicago IL 60614-2353 Ph: (773) 929-7410 |
NPI Number | 1114931557 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 03/31/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114931557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36057975 (Illinois) | Primary |
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