Organization
CHICAGO UPTOWN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEJLA M. SUNJE MBA (OFFICE MANAGER)
(773) 506-7340
Entity
Organization
Contact information
Practice address
4906 N WESTERN AVE, SUITE 1, CHICAGO, IL 60625
(773) 506-7340
(773) 506-7341
Mailing address
2333 W IRVING PARK RD STE 1, CHICAGO, IL 60618-3838
(773) 506-7340
(773) 506-7341
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036103665
IL
207R00000X
Internal Medicine Physician
Primary
036103665
IL
Other
Enumeration date
10/04/2006
Last updated
02/26/2021
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