SOUTH SHORE SCHOOL OF LEADERSHIP HEALTH CENTER NPI 1508294091

NPI Information

SOUTH SHORE SCHOOL OF LEADERSHIP HEALTH CENTER is a student health clinic center in Chicago, IL. SOUTH SHORE SCHOOL OF LEADERSHIP HEALTH CENTER NPI is 1508294091. The provider is registered as an organization entity type.
The provider Is Doing Business As Friedell Primary Care.

The provider's business location address is:

7627 S CONSTANCE AVE
CHICAGO, IL
ZIP 60649-009
Phone: (773) 535-7406
Fax: (312) 808-0655

The provider's authorized official is Peter Friedell .
The authorized official title is President and has the following contact phone number (312) 808-0621.

The enumeration date for this NPI number is 10/22/2013 and was last updated on 10/30/2013.

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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