| Smg West Lawn | |
|
6449 S Pulaski Rd Ste 211 Chicago IL 60629-5148 | |
| (773) 581-7300 | |
| Not Available |
| Full Name | Smg West Lawn |
|---|---|
| Speciality | Family Medicine |
| Location | 6449 S Pulaski Rd, Chicago, Illinois |
| Authorized Official Name and Position | John Vazquez (CMO) |
| Authorized Official Contact | 7732576850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smg West Lawn 6449 S Pulaski Rd Ste 211 Chicago IL 60629-5148 Ph: (773) 581-7300 | Smg West Lawn 6449 S Pulaski Rd Ste 211 Chicago IL 60629-5148 Ph: (773) 581-7300 |
| NPI Number | 1114381977 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114381977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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