| Smg Archer Pob 100 | |
|
6084 S Archer Ave Chicago IL 60638-2747 | |
| (773) 767-0100 | |
| (773) 767-6960 |
| Full Name | Smg Archer Pob 100 |
|---|---|
| Speciality | Family Medicine |
| Location | 6084 S Archer Ave, Chicago, Illinois |
| Authorized Official Name and Position | John E. Vazquez (CMO) |
| Authorized Official Contact | 7732576850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smg Archer Pob 100 6084 S Archer Ave Chicago IL 60638-2747 Ph: (773) 767-0100 | Smg Archer Pob 100 6084 S Archer Ave Chicago IL 60638-2747 Ph: (773) 767-0100 |
| NPI Number | 1235546037 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 07/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235546037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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