| San Pablo Medical Center | |
|
2641 W Division St Chicago IL 60622-2851 | |
| (773) 227-3500 | |
| (773) 227-0432 |
| Full Name | San Pablo Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2641 W Division St, Chicago, Illinois |
| Authorized Official Name and Position | Amer Rustom (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7732273500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Pablo Medical Center 2641 W Division St Chicago IL 60622-2851 Ph: (773) 227-3500 | San Pablo Medical Center 2641 W Division St Chicago IL 60622-2851 Ph: (773) 227-3500 |
| NPI Number | 1487733028 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487733028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36083101 (Illinois) | Primary |
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