Organization
CIRCLE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN J PETTIFORD (CHIEF EXECUTIVE OFFICER)
(773) 379-1000
Entity
Organization
Contact information
Practice address
1633 N HAMLIN, CHICAGO, IL 60647-4607
(773) 276-1200
(773) 276-8285
Mailing address
5002 W MADISON ST, CHICAGO, IL 60644-4127
(773) 379-1000
(773) 379-1342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
08/21/2006
Last updated
07/21/2022
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