| Smg at Sci-medicine | |
|
2653 W Ogden Ave 3rd Floor Suite A, Chicago IL 60608-1647 | |
| (773) 257-6840 | |
| (773) 257-6712 |
| Full Name | Smg at Sci-medicine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2653 W Ogden Ave, Chicago, Illinois |
| Authorized Official Name and Position | John E. Vazquez (CMO) |
| Authorized Official Contact | 7732576850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smg at Sci-medicine 3537 Paysphere Cir Chicago IL 60674-0035 Ph: (708) 786-2900 | Smg at Sci-medicine 2653 W Ogden Ave 3rd Floor Suite A, Chicago IL 60608-1647 Ph: (773) 257-6840 |
| NPI Number | 1801239991 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801239991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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