ASIAN VILLAGE MEDICAL CLINIC PC 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). ASIAN VILLAGE MEDICAL CLINIC PC NPI is 1548436892. The provider is registered as an organization entity type.
The provider's business location address is:
5129 N BROADWAY ST
SUITE E
CHICAGO, IL
ZIP 60640-018
Phone: (774) 275-4250
Fax: (773) 275-4263
The provider's authorized official is Phuong Tran .
The authorized official title is President and has the following contact phone number (773) 275-4250.
The CLIA number assigned to this NPI record is 14D0997375 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/7/2008 and was last updated on 9/30/2010.