63RD ADVANCED HEALTH CLINIC INC

CHICAGO, IL
NPI1548492234
Entity TypeOrganization
Authorized ContactALESIA CHAIKA
Owner
847-904-7500
Organization Subpart ?No
Primary Taxonomy207QA0000X Family Medicine Adolescent Medicine
Enumeration Date2009-08-14
Last Update Date2009-08-14
Business Address
63RD ADVANCED HEALTH CLINIC INC
1249 W 63RD ST
CHICAGO, IL 60636-1947
Phone number: 847-904-7500
Mailing Address
63RD ADVANCED HEALTH CLINIC INC
1249 W 63RD ST
CHICAGO, IL 60636-1947
Phone number: 847-904-7500
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