Organization
FORYS BIRN AND ASSOC P C
Active
Other names
Central Medical Clinic Of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR ALEKSANDER FORYS M.D. (PRESIDENT, PHYSICIAN)
(773) 545-2525
Entity
Organization
Contact information
Practice address
5605 W GUNNISON STR, CHICAGO, IL 60630-3212
(773) 545-2525
(773) 205-5700
Mailing address
5605 W GUNNISON STR, CHICAGO, IL 60630-3212
(773) 545-2525
(773) 205-5700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
09/05/2007
Last updated
06/30/2011
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