CHICAGO MONTICELLO MEDICAL CTR

CHICAGO, IL
NPI1447265053
Doing Business AsMICHAEL W EARLY MD
Entity TypeOrganization
Authorized ContactMICHAEL EARLEY
Md
773-722-6171
Organization Subpart ?No
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: IL  036067635)
Enumeration Date2006-07-30
Last Update Date2007-11-19
Business Address
CHICAGO MONTICELLO MEDICAL CTR
3623 W CHICAGO AVE
CHICAGO, IL 60651-3934
Phone number: 773-722-6171
Mailing Address
CHICAGO MONTICELLO MEDICAL CTR
3623 W CHICAGO AVE
CHICAGO, IL 60651-3934
Phone number: