Organization
SPS FAMILY CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SORVEIN PRIETO M.D. (FAMILY PRACTICE)
(773) 619-0127
Entity
Organization
Contact information
Practice address
1810 W CHICAGO AVE, CHICAGO, IL 60622-5512
(773) 489-6100
(773) 489-6156
Mailing address
750 PEARSON ST, 507, DES PLAINES, IL 60016-9211
(773) 619-0127
(847) 635-2002
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036118602
IL
Other
Enumeration date
12/13/2007
Last updated
09/08/2011
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