| Near South Health Center (ffs) | |
|
3525 S Michigan Ave Chicago IL 60653-1019 | |
| (312) 945-4010 | |
| Not Available |
| Full Name | Near South Health Center (ffs) |
|---|---|
| Speciality | Family Medicine |
| Location | 3525 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Scott Andrle (DIRECTOR OF MANAGED CARE OPERATIONS) |
| Authorized Official Contact | 3128644649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Near South Health Center (ffs) 1900 W Polk St Rm 220c Chicago IL 60612-3723 | Near South Health Center (ffs) 3525 S Michigan Ave Chicago IL 60653-1019 Ph: (312) 945-4010 |
| NPI Number | 1194356089 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194356089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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