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

SOUTHSIDE PRIMARY CARE GROUP SC

Active Organization

SOUTHSIDE PRIMARY CARE GROUP SC is a Internal Medicine organization located in CHICAGO, Illinois. NPI 1417403072 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CHICAGO, IL

Registration Details

NPI Number
1417403072
Provider Type
Organization
NPI Issued
Sep 1, 2016 (9.9753326483507 yrs)
Last Updated
Feb 7, 2024
Licenses
036111469 (IL)
036111469 (IL)

Practice Information

Address
7531 S STONY ISLAND AVE
SUITE 164
CHICAGO, IL, 606493954
Browse IL providers · Browse ZIP 60649
Phone
7739472831
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
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.