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

SOUTHSIDE FAMILY MEDICINE PC

Active Organization

SOUTHSIDE FAMILY MEDICINE PC is a Family Medicine organization located in CHICAGO, Illinois. NPI 1922361450 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CHICAGO, IL

Registration Details

NPI Number
1922361450
Provider Type
Organization
NPI Issued
Jun 19, 2012 (14.156790360478 yrs)
Last Updated
Jun 19, 2012
License
336.073573 (IL)

Practice Information

Address
1525 E 55TH ST
SUITE 307
CHICAGO, IL, 606155512
Browse IL providers · Browse ZIP 60615
Phone
7736675577
Fax
7736679977
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.