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Organization
PHYSICIANS CARE CENTER
Active
Organization
PHYSICIANS CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MICHAEL ZABOROWSKI MD (PRESIDENT)
(773) 278-6050
Entity
Organization
Contact information
Practice address
3015 17 N MILWAUKEE AVE, CHICAGO, IL 60618
(773) 278-6050
(773) 278-4843
Mailing address
3015 17 N MILWAUKEE AVE, CHICAGO, IL 60618
(773) 278-6050
(773) 278-4843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067925
—
IL
01
—
31601876
BLUE CREOSS BLUE SHIELD
IL
Enumeration date
10/18/2006
Last updated
04/21/2010
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