Organization
CHICAGO MEG CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HAKES (VICE PRESIDENT)
(317) 663-0384
Entity
Organization
Contact information
Practice address
5554 S HYDE PARK BLVD, CHICAGO, IL 60637-1909
(773) 324-9200
(773) 324-9300
Mailing address
11595 N MERIDIAN ST, SUITE 300, CARMEL, IN 46032-6947
(317) 663-0384
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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