JEFFERSON PARK MEDICAL CENTER NPI 1194934208

NPI Information

JEFFERSON PARK MEDICAL CENTER is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JEFFERSON PARK MEDICAL CENTER NPI is 1194934208. The provider is registered as an organization entity type.

The provider's business location address is:

4955 N MILWAUKEE AVE
CHICAGO, IL
ZIP 60630-286
Phone: (630) 209-8405
Fax: (773) 736-1403

The provider's authorized official is Pierre Chatelain .
The authorized official title is Operations Manager and has the following contact phone number (630) 209-8405.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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