is a Specialist in Chicago, Illinois. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1124079744. The last update date is .
's current location address is 737 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3127517515 and fax number 3127511208. The mailing address for is 737 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 737 N Michigan Ave, Chicago, Illinois |
| Phone Number | 3127517515 |
| Fax Number | 3127511208 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124079744 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 737 N Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 6061126150 |
| Phone Number | 3127517515 |
| Fax Number | 3127511208 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 036-104628 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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