# CHICAGO RHEUMATOLOGY AND MEDICAL CLINIC, S.C.

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

## Provider details

- **NPI number:** 1285986380
- **Authorized official:** DOROTHY BLONIARZ (M.D.)
- **Authorized official phone:** (312) 479-8760

## Contact information

- **Practice address:** 5325 W BELMONT AVE, CHICAGO, IL 60641-4104
- **Practice address phone:** (773) 283-5700
- **Practice address fax:** (773) 283-6450
- **Mailing address:** 5325 W BELMONT AVE, CHICAGO, IL 60641-4104
- **Mailing address phone:** (773) 283-5700
- **Mailing address fax:** (773) 283-6450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036129110 | IL | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 04/04/2013