Organization
M CHAVEZ MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON C CHAVEZ MD (OWNER/PHYSICIAN)
(773) 342-1212
Entity
Organization
Contact information
Practice address
1509 N WESTERN AVE UNIT A, CHICAGO, IL 60622-2416
(773) 227-3303
(773) 897-5848
Mailing address
1509 N WESTERN AVE UNIT A, CHICAGO, IL 60622-2416
(773) 227-3303
(773) 897-5848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036079016
IL
Other
Enumeration date
05/03/2010
Last updated
11/18/2021
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