| NPI | 1336472851 |
|---|---|
| Doing Business As | CHICAGO CENTER FOR ADULT MEDICINE |
| Doing Business As | IC MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NAVEED K. MALLICK Physician 773-321-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 036.101915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-101915) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036-101915) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2022-07-11 |