# FIRST CLINIC SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114932555
- **Authorized official:** DR. CHRIS CHON MD (PHYSICIAN)
- **Authorized official phone:** (847) 933-0500

## Contact information

- **Practice address:** 9669 KENTON AVE, \#405, SKOKIE, IL 60076-1266
- **Practice address phone:** (847) 933-0500
- **Practice address fax:** (847) 933-0505
- **Mailing address:** PO BOX 5177, SKOKIE, IL 60076-5177
- **Mailing address phone:** (847) 933-0500
- **Mailing address fax:** (847) 933-0505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 01/23/2015