Organization
DH MEDICAL GROUP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE L HAWKINS MD (CEO)
(773) 874-8200
Entity
Organization
Contact information
Practice address
110 E 79TH ST, CHICAGO, IL 60619-2302
(773) 874-8200
Mailing address
110 E 79TH ST, CHICAGO, IL 60619-2302
(773) 874-8200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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