Organization
31ST STD CLINIC
Active
Other names
31st Street Sexually Transmitted Diseases
Organization subpart
No
Provider details
NPI number
Authorized official
SARAI M JACKSON DIRECTOR (DIRECTOR OF REVENUE)
(312) 747-9792
Entity
Organization
Contact information
Practice address
530 E 31ST ST, STD 31ST STREET CLINIC, CHICAGO, IL 60616-4008
(312) 747-9792
(312) 747-9447
Mailing address
333 S STATE STREET, REVENUE #200 CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL 60604
(312) 747-9792
(312) 747-9447
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
05/27/2008
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