# COLMED CLINIC LTD

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

## Provider details

- **NPI number:** 1194380147
- **Authorized official:** WAYNE MEYERS (OFFICE MANAGER)
- **Authorized official phone:** (773) 770-6300

## Contact information

- **Practice address:** 3615 N ASHLAND AVE APT 1N, CHICAGO, IL 60613-4742
- **Practice address phone:** (773) 770-6300
- **Practice address fax:** (773) 665-5007
- **Mailing address:** 3615 N ASHLAND AVE APT 1N, CHICAGO, IL 60613-4742
- **Mailing address phone:** (773) 770-6300
- **Mailing address fax:** (773) 665-5007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2019
- **Last updated:** 05/06/2019