CHICAGO SPORTS MEDICINE LLC

CHICAGO, IL
NPI1093107989
Entity TypeOrganization
Authorized ContactANDREW GARD
Owner
773-784-6682
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2015-03-02
Last Update Date2015-03-02
Business Address
CHICAGO SPORTS MEDICINE LLC
1130 W GRANVILLE AVE
CHICAGO, IL 60660-2013
Phone number: 773-784-6682
Mailing Address
CHICAGO SPORTS MEDICINE LLC
1130 W GRANVILLE AVE
CHICAGO, IL 60660-2013
Phone number: 773-784-6682