Organization
NORTH CHICAGO MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CHODZEN PT (OFFICE MANAGER)
(773) 745-0391
Entity
Organization
Contact information
Practice address
2649 N LARAMIE AVE, CHICAGO, IL 60639-1613
(773) 745-0391
(773) 745-3506
Mailing address
2649 N LARAMIE AVE, CHICAGO, IL 60639-1613
(773) 745-0391
(773) 745-3506
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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