OAK STREET HEALTH: EDGEWATER is a primary care clinic center in Chicago, IL. OAK STREET HEALTH: EDGEWATER NPI is 1194164202. The provider is registered as an organization entity type.
The provider's business location address is:
1541 W DEVON AVE
CHICAGO, IL
ZIP 60660-313
Phone: (312) 810-8763
The provider's authorized official is Griffin Myers .
The authorized official title is Chief Medical Officer and has the following contact phone number (773) 412-3000.
The CLIA number assigned to this NPI record is 14D2060121 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/21/2013 and was last updated on 6/21/2013.