Organization
CARLTON A. WEST, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLTON A WEST MD (PRESIDENT)
(312) 225-2055
Entity
Organization
Contact information
Practice address
443 E 31ST ST, CHICAGO, IL 60616-4051
(312) 225-2055
(312) 225-7437
Mailing address
443 E 31ST ST, CHICAGO, IL 60616-4051
(312) 225-2055
(312) 225-7437
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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