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Organization
SOUTH LOOP INTEGRATED PHYSICIANS LTD
Active
Organization
SOUTH LOOP INTEGRATED PHYSICIANS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MORGAN (MANAGER)
(239) 970-2484
Entity
Organization
Contact information
Practice address
1147 S WABASH AVE, CHICAGO, IL 60605-2346
(312) 987-4878
Mailing address
1147 S WABASH AVE, CHICAGO, IL 60605-2346
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
NULL
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/24/2023
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