| Smg At Sci Family Medicine | |
|
2653 W Ogden Ave 2nd Floor Chicago IL 60608-1647 | |
| (773) 257-6840 | |
| Not Available |
| Full Name | Smg At Sci Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2653 W Ogden Ave, Chicago, Illinois |
| Authorized Official Name and Position | John Vazquez (CMO) |
| Authorized Official Contact | 7732576850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smg At Sci Family Medicine 1501 S California Ave Nr6-119 Chicago IL 60608-1732 Ph: (773) 257-2905 | Smg At Sci Family Medicine 2653 W Ogden Ave 2nd Floor Chicago IL 60608-1647 Ph: (773) 257-6840 |
| NPI Number | 1417343591 |
|---|---|
| Provider Enumeration Date | 04/15/2015 |
| Last Update Date | 04/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417343591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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