Organization
KEDZIE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOHAR AKOPYAN (CMM)
(847) 904-7500
Entity
Organization
Contact information
Practice address
262 N KEDZIE AVE, CHICAGO, IL 60612-1869
(847) 904-7500
Mailing address
262 N KEDZIE AVE, CHICAGO, IL 60612-1869
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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