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Organization
PRIMARY CARE PROVIDERS OF CHICAGO SC
Active
Organization
PRIMARY CARE PROVIDERS OF CHICAGO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FALGUNI SHAH (PRACTICE MANAGER)
(773) 631-0566
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 216, CHICAGO, IL 60631-3745
(773) 631-0566
(773) 631-4436
Mailing address
7447 W TALCOTT AVE STE 216, CHICAGO, IL 60631-3713
(773) 631-0566
(773) 631-4436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036095721
IL
207Q00000X
Family Medicine Physician
036133839
IL
207R00000X
Internal Medicine Physician
Primary
036100881
IL
Other
Enumeration date
04/02/2007
Last updated
11/10/2025
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