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Organization
LINCOLN PARK FAMILY PHYSICIANS SC
Active
Organization
LINCOLN PARK FAMILY PHYSICIANS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W TENHUNDFELD M.D. (PRESIDENT)
(773) 665-9355
Entity
Organization
Contact information
Practice address
1317 W DIVERSEY PKWY, CHICAGO, IL 60614-1207
(773) 665-9355
(773) 665-0403
Mailing address
1317 W DIVERSEY PKWY, CHICAGO, IL 60614-1207
(773) 665-9355
(773) 665-0403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
09/14/2005
Last updated
07/21/2022
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