MERCY DUNBAR HEALTH CENTER NPI 1457582975

NPI Information

MERCY DUNBAR HEALTH CENTER is a student health clinic center in Chicago, IL. MERCY DUNBAR HEALTH CENTER NPI is 1457582975. The provider is registered as an organization entity type.

The provider's business location address is:

3000 S KING DR
CHICAGO, IL
ZIP 60616-452
Phone: (312) 567-7058
Fax: (312) 328-7982

The provider's authorized official is Patrice Kathleen Griffin .
The authorized official title is Delegated Official and has the following contact phone number (312) 567-5593.

The CLIA number assigned to this NPI record is 14D0951881 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/31/2009 and was last updated on 3/29/2018.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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