2001-15 N PARKSIDE LLC is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). 2001-15 N PARKSIDE LLC NPI is 1518607696. The provider is registered as an organization entity type.
The provider's business location address is:
405 N WABASH AVE STE P2-A
CHICAGO, IL
ZIP 60611-744
Phone: (312) 955-4005
The provider's authorized official is Mona Khan .
The authorized official title is Physician and has the following contact phone number (312) 955-4005.
The CLIA number assigned to this NPI record is 14D2252287 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/29/2022 and was last updated on 3/29/2022.