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Patricia Gale, MD, S.C.

Clinic/Center, Primary Care in Chicago, IL. Organization (NPI-2).

NPI number1982158036
StatusActive
Last updated in NPPESAug 6, 2016

Details

NPI
1982158036
Entity type
Organization (NPI-2)
Legal business name
Patricia Gale, MD, S.C.
Organization subpart
No
Enumeration date
Aug 6, 2016
Last updated
Aug 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care036.092949ILYes

Practice location

680 N Lake Shore Dr
Suite 930
Chicago, IL 60611-4546

Phone 312-944-4200 · Fax 312-944-4224

Mailing address

680 N Lake Shore Dr
Suite 930
Chicago, IL 60611-4546

Phone 312-944-4200 · Fax 312-944-4224

Authorized official

Patricia Maria Gale
President
3129444200

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