Organization
OAK STREET HEALTH: EDGEWATER
Active
Parent organization
OAK STREET HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAK STREET HEALTH
Authorized official
DR. GRIFFIN MYERS M.D. (CHIEF MEDICAL OFFICER)
(773) 412-3000
Entity
Organization
Contact information
Practice address
1541 W DEVON AVE, CHICAGO, IL 60660-1313
(312) 810-8763
Mailing address
327 W BELDEN AVE, #3, CHICAGO, IL 60614-3817
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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