Organization
MERCY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCHUSTERIC (PRACTICE DIRECTOR)
(312) 567-2092
Entity
Organization
Contact information
Practice address
3753 S COTTAGE GROVE AVE, CHICAGO, IL 60653-1662
(312) 567-2092
Mailing address
3753 S COTTAGE GROVE AVE, CHICAGO, IL 60653-1662
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
04/14/2021
Last updated
06/21/2021
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