PARKWEST FAMILY PRACTICE SC

CHICAGO, IL
NPI1114931557
Entity TypeOrganization
Authorized ContactINDIRA SHAH
Owner / Provider
773-929-7410
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  36057975)
Enumeration Date2006-07-29
Last Update Date2009-03-31
Business Address
PARKWEST FAMILY PRACTICE SC
2526 N LINCOLN AVE
CHICAGO, IL 60614-2353
Phone number: 773-929-7410
Mailing Address
PARKWEST FAMILY PRACTICE SC
75 REMITTANCE DR DEPT 1704
CHICAGO, IL 60675-1704
Phone number: 727-823-2188
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