# INDEPENDENT PHYSICIANS' ACO OF CHICAGO, LLC

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

## Provider details

- **NPI number:** 1174903512
- **Authorized official:** MR. JOHN VENETOS MD (PRESIDENT)
- **Authorized official phone:** (773) 989-6262

## Contact information

- **Practice address:** 2740 W FOSTER AVE, SUITE 116, CHICAGO, IL 60625-3500
- **Practice address phone:** (773) 989-6262
- **Mailing address:** 2740 W FOSTER AVE, SUITE 116, CHICAGO, IL 60625-3500
- **Mailing address phone:** (773) 989-6262

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2015
- **Last updated:** 06/01/2015