Organization
BRIDGEPORT FAMILY MEDICAL CENTER S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD JOSEPH SCHWARTZ DO (PRESIDENT)
(312) 326-3200
Entity
Organization
Contact information
Practice address
3201 S WALLACE ST, CHICAGO, IL 60616-3501
(312) 326-3200
Mailing address
3201 S WALLACE ST, CHICAGO, IL 60616-3501
(312) 326-3200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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