NORTHWEST MEDICAL AND URGENT CARE CENTER AT SOUTH SHORE 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). NORTHWEST MEDICAL AND URGENT CARE CENTER AT SOUTH SHORE LLC NPI is 1235625138. The provider is registered as an organization entity type.
The provider's business location address is:
1952 E 73RD ST
CHICAGO, IL
ZIP 60649-902
Phone: (773) 493-5600
The provider's authorized official is Tamara Petrov .
The authorized official title is Office Manager and has the following contact phone number (773) 353-5047.
The CLIA number assigned to this NPI record is 14D2172481 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/3/2018 and was last updated on 7/3/2018.