# FORYS BIRN AND ASSOC P C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Medical Clinic Of Chicago
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740474584
- **Authorized official:** DR. VICTOR ALEKSANDER FORYS M.D. (PRESIDENT, PHYSICIAN)
- **Authorized official phone:** (773) 545-2525

## Contact information

- **Practice address:** 5605 W GUNNISON STR, CHICAGO, IL 60630-3212
- **Practice address phone:** (773) 545-2525
- **Practice address fax:** (773) 205-5700
- **Mailing address:** 5605 W GUNNISON STR, CHICAGO, IL 60630-3212
- **Mailing address phone:** (773) 545-2525
- **Mailing address fax:** (773) 205-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 06/30/2011