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 |