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Organization

INDEPENDENT PHYSICIANS' ACO OF CHICAGO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN VENETOS MD (PRESIDENT)
(773) 989-6262
Entity
Organization

Contact information

Practice address
2740 W FOSTER AVE, SUITE 116, CHICAGO, IL 60625-3500
(773) 989-6262
Mailing address
2740 W FOSTER AVE, SUITE 116, CHICAGO, IL 60625-3500
(773) 989-6262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IL

Other

Enumeration date
06/01/2015
Last updated
06/01/2015
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