Organization
CHICAGO UPTOWN MEDICAL CENTER
Active
Organization
CHICAGO UPTOWN MEDICAL CENTER
Active
Parent organization
CHICAGO UPTOWN MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHICAGO UPTOWN MEDICAL CENTER
Authorized official
MS. LEJLA M. SUNJE MBA (OFFICE MANAGER)
(773) 506-7340
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD STE 335A, SAINT LOUIS, MO 63128-2194
(773) 506-7340
(773) 506-7341
Mailing address
2333 W IRVING PARK RD, CHICAGO, IL 60618-3838
(773) 506-7340
(773) 506-7341
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
2006013537
MO
207R00000X
Internal Medicine Physician
Primary
2006013537
MO
Other
Enumeration date
12/01/2009
Last updated
02/11/2015
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