NPI | 1912470105 |
---|---|
Other Name | CHMG - EDGEWATER |
Doing Business As | CHICAGO HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MANOJ PRASAD CEO 708-763-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-01-10 |
Last Update Date | 2023-01-13 |