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Organization
GREATER CHICAGO MEDICAL ASSOCIATION, INC
Active
Organization
GREATER CHICAGO MEDICAL ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JORDAN ZUREIKAT M.D. (PRESIDENT)
(773) 271-5000
Entity
Organization
Contact information
Practice address
4108 N LINCOLN AVE, CHICAGO, IL 60618-3028
(773) 271-5000
(773) 784-6700
Mailing address
4108 N LINCOLN AVE, CHICAGO, IL 60618-3028
(773) 271-5000
(773) 784-6700
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150094
—
IL
Enumeration date
07/21/2008
Last updated
07/21/2008
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