PORTAGE PARK MEDICAL GROUP

CHICAGO, IL
NPI1184672966
Entity TypeOrganization
Authorized ContactRICHARD ANSFIELD
Director
773-286-8822
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-05-04
Last Update Date2020-08-22
Business Address
PORTAGE PARK MEDICAL GROUP
3401 N CENTRAL AVE
CHICAGO, IL 60634-4426
Phone number: 773-286-8822
Mailing Address
PORTAGE PARK MEDICAL GROUP
3401 N CENTRAL AVE
CHICAGO, IL 60634-4426
Phone number: 773-286-8822
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