Organization · NPI-2

3p4care (Il) LLC Avondale

Family Medicine · Chicago, IL

NPI number1467820001
StatusActive
Last updated in NPPESNov 13, 2025

Details

NPI
1467820001
Entity type
Organization (NPI-2)
Legal business name
3p4care (Il) LLC Avondale
Organization subpart
Yes
Enumeration date
Sep 14, 2015
Certification date
Nov 13, 2025
Last updated
Nov 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036.094438ILYes
261QP2300X Clinic/Center, Primary Care––

Other names

  • 3p4care Avondale (Doing Business As)

Practice location

3502 N Kedzie Ave
Chicago, IL 60618-5622

Phone 773-654-1888 · Fax 773-754-7412

Mailing address

3502 N Kedzie Ave
Chicago, IL 60618-5622

Phone 773-654-1888 · Fax 773-754-7412

Authorized official

Augustine Chu-Kwan Wong
Director
7736541888

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