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Organization
MICHIGAN AVENUE IMMEDIATE CARE
Active
Organization
MICHIGAN AVENUE IMMEDIATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A RUNKE M.D. (MEDICAL DIRECTOR)
(312) 201-1234
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE, SUITE 1605, CHICAGO, IL 60601-7478
(312) 201-1234
(312) 201-1202
Mailing address
180 N MICHIGAN AVE, SUITE 1605, CHICAGO, IL 60601-7478
(312) 201-1234
(312) 201-1202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042.616731
IL
Other
Enumeration date
02/23/2007
Last updated
11/01/2012
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