# NORTH ELSTON IMMEDIATE & PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARION CHRONIC CARE, LTD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891056867
- **Legal business name:** MARION CHRONIC CARE, LTD
- **Authorized official:** DR. SYED JAFRI MD (PRESIDENT)
- **Authorized official phone:** (601) 668-4105

## Contact information

- **Practice address:** 4332 N ELSTON AVE, CHICAGO, IL 60641-2144
- **Practice address phone:** (773) 754-3500
- **Practice address fax:** (773) 754-3504
- **Mailing address:** 4332 N ELSTON AVE, CHICAGO, IL 60641-2144
- **Mailing address phone:** (773) 754-3500
- **Mailing address fax:** (773) 754-3504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036114889 | IL | — |
| 261QU0200X | Urgent Care Clinic/Center | 036114889 | IL | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/23/2014