Organization
VILLAGEMD CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY LEE RUBAS (GENERAL COUNSEL)
(312) 465-7898
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 409, CHICAGO, IL 60631
(773) 763-3808
Mailing address
125 S CLARK ST STE 900, CHICAGO, IL 60603-5200
(312) 465-7900
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/17/2018
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