| NPI | 1801818570 |
|---|---|
| Doing Business As | SMG ALLPORT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN E. VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036045400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036086899) |
| 208600000X Surgery (Licence: IL 036049782) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-05-31 |