| Smg Washington | |
|
3857 W Washington Blvd Chicago IL 60624-2342 | |
| (773) 533-4850 | |
| Not Available |
| Full Name | Smg Washington |
|---|---|
| Speciality | Internal Medicine |
| Location | 3857 W Washington Blvd, 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 Washington 26460 Network Pl Chicago IL 60673-1264 Ph: (708) 786-2900 | Smg Washington 3857 W Washington Blvd Chicago IL 60624-2342 Ph: (773) 533-4850 |
| NPI Number | 1780094508 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 05/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780094508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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