Organization
SWEDISH COVENANT HOSPITAL
Active
Other names
ROOSEVELT HIGH SCHOOL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
SELMA KULENOVIC (DIRECTOR OF FINANCE & BUSINESS PLAN)
(773) 878-8200
Entity
Organization
Contact information
Practice address
3436 W WILSON AVE, CHICAGO, IL 60625-5318
(773) 534-5000
Mailing address
5140 N CALIFORNIA AVE, SUITE 635-645, CHICAGO, IL 60625-3645
(773) 293-3223
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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