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

ROOSEVELT ROAD CLINIC MD SC

Active Organization

ROOSEVELT ROAD CLINIC MD SC is a Internal Medicine organization located in CHICAGO, Illinois. NPI 1952765232 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CHICAGO, IL

Registration Details

NPI Number
1952765232
Provider Type
Organization
NPI Issued
Apr 12, 2016 (10.353054346726 yrs)
Last Updated
Apr 12, 2016
License
036056560 (IL)

Practice Information

Address
3600 W ROOSEVELT RD
CHICAGO, IL, 606244225
Browse IL providers · Browse ZIP 60624
Phone
7736386761
Fax
7736386984
Primary Specialty
Internal Medicine
207R00000X
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.