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

PORTAGE PARK MEDICAL GROUP

Active Organization

PORTAGE PARK MEDICAL GROUP is a Family Medicine organization located in CHICAGO, Illinois. NPI 1184672966 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CHICAGO, IL

Registration Details

NPI Number
1184672966
Provider Type
Organization
NPI Issued
May 4, 2006 (20.283240159305 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
3401 N CENTRAL AVE
CHICAGO, IL, 606344426
Browse IL providers · Browse ZIP 60634
Phone
7732868822
Fax
7738244997
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.