MAXICARE VISITING PHYSICIAN INC NPI 1245753755

NPI Information

MAXICARE VISITING PHYSICIAN, INC is a health service clinic center in Chicago, IL. MAXICARE VISITING PHYSICIAN, INC NPI is 1245753755. The provider is registered as an organization entity type.

The provider's business location address is:

3300 W PETERSON AVE
SUITE H
CHICAGO, IL
ZIP 60659
Phone: (773) 961-7580

The provider's authorized official is Nelson Mercado .
The authorized official title is Office Manager and has the following contact phone number (773) 961-7580.

The enumeration date for this NPI number is 7/18/2017 and was last updated on 7/18/2017.

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:

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