COMMUNITY FAMILY MEDICINE LTD NPI 1316123961

NPI Information

COMMUNITY FAMILY MEDICINE LTD 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). COMMUNITY FAMILY MEDICINE LTD NPI is 1316123961. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Edith Chaffin Md.

The provider's business location address is:

6307 S STEWART AVE STE 310
CHICAGO, IL
ZIP 60621-116
Phone: (773) 487-3017
Fax: (773) 487-3028

The provider's authorized official is Edith Chaffin .
The authorized official title is Owner/president and has the following contact phone number (773) 487-3017.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 6/3/2020.

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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