# CHICAGO MEDICAL AND SURGICAL CENTER

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

## Provider details

- **NPI number:** 1467655233
- **Authorized official:** MARIE FE TAN (MANAGER)
- **Authorized official phone:** (773) 277-1100

## Contact information

- **Practice address:** 3736 W 26TH ST, CHICAGO, IL 60623-3826
- **Practice address phone:** (773) 277-1100
- **Practice address fax:** (773) 277-1166
- **Mailing address:** 3736 W 26TH ST, CHICAGO, IL 60623-3826
- **Mailing address phone:** (773) 277-1100
- **Mailing address fax:** (773) 277-1166

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 08/22/2020
