Organization
GREATER CHICAGO MEDICAL ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER JORDAN ZUREIKAT M.D. (PRESIDENT)
(773) 271-5000
Entity
Organization
Contact information
Practice address
4108 N LINCOLN AVE, CHICAGO, IL 60618-3028
(773) 271-5000
(773) 784-6700
Mailing address
4108 N LINCOLN AVE, CHICAGO, IL 60618-3028
(773) 271-5000
(773) 784-6700
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150094
—
IL
Enumeration date
07/21/2008
Last updated
07/21/2008
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