# PM CLINICAL NETWORK

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

## Provider details

- **NPI number:** 1841945276
- **Authorized official:** MISHA MCCULLOUGH MPH (CEO)
- **Authorized official phone:** (312) 623-1919

## Contact information

- **Practice address:** 720 S WELLS ST APT 1615, CHICAGO, IL 60607-4793
- **Practice address phone:** (312) 623-1919
- **Mailing address:** 720 S WELLS ST APT 1615, CHICAGO, IL 60607-4793
- **Mailing address phone:** (312) 623-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2022
- **Last updated:** 02/14/2022