Family Physicians INC
Clinic/Center, Multi-Specialty in Chicago, IL. Organization (NPI-2).
NPI number1679001069
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1679001069
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Physicians INC
- Organization subpart
- No
- Enumeration date
- May 30, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
5901 N Cicero Ave Ste 600Chicago, IL 60646-5721
Phone 773-983-6204
Mailing address
5901 N Cicero Ave Ste 600Chicago, IL 60646-5721
Phone 773-983-6204
Authorized official
Yongsoo Kwon
Medical Director
7739836204
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