Organization
NORTH CHICAGO PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY POPE (CEO)
(224) 656-1983
Entity
Organization
Contact information
Practice address
1809 SHERIDAN RD., NORTH CHICAGO, IL 60064-2235
(224) 656-1383
Mailing address
1809 SHERIDAN RD., NORTH CHICAGO, IL 60064-2235
(224) 656-1383
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036102939
IL
261QP2300X
Primary Care Clinic/Center
85001395
IL
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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