Organization
FIRST CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS CHON MD (PHYSICIAN)
(847) 933-0500
Entity
Organization
Contact information
Practice address
9669 KENTON AVE, #405, SKOKIE, IL 60076-1266
(847) 933-0500
(847) 933-0505
Mailing address
PO BOX 5177, SKOKIE, IL 60076-5177
(847) 933-0500
(847) 933-0505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084803
—
IL
01
—
31604612
BCBSIL
IL
Enumeration date
07/31/2006
Last updated
01/23/2015
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