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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOOSHA MEDICAL CENTER P C

Active Organization

KOOSHA MEDICAL CENTER P C is a Family Medicine organization located in CHICAGO, Illinois. NPI 1164711644 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CHICAGO, IL

Registration Details

NPI Number
1164711644
Provider Type
Organization
NPI Issued
Apr 5, 2011 (15.364886945535 yrs)
Last Updated
Mar 7, 2023
License
0360856071 (IL)

Practice Information

Address
4438 N MILWAUKEE AVE
CHICAGO, IL, 606303743
Browse IL providers · Browse ZIP 60630
Phone
7737942100
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.