CHICAGO POLY CLINIC LLC 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). CHICAGO POLY CLINIC LLC NPI is 1841804879. The provider is registered as an organization entity type.
The provider's business location address is:
2446 W DEVON AVE
CHICAGO, IL
ZIP 60659-913
Phone: (773) 761-0500
The provider's authorized official is Mohamed S Sirajudeen .
The authorized official title is Ceo and has the following contact phone number (773) 521-6666.
The CLIA number assigned to this NPI record is 14D2245485 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/8/2020 and was last updated on 9/8/2020.