Organization
CITY OF CHICAGO
Active
Other names
Chicago Department of Public Health South Austin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO BELTRAN (FIRST DEPUTY COMMISSIONER)
(312) 747-9878
Entity
Organization
Contact information
Practice address
4958 W MADISON ST, CHICAGO, IL 60644-3541
(312) 746-4871
(312) 746-4637
Mailing address
4958 W MADISON ST, CHICAGO, IL 60644-3541
(312) 746-4871
(312) 746-4637
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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