Organization
CHICAGO EXPRESS DOCTORS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA CASEY (PRACTICE MANAGER)
(312) 929-4492
Entity
Organization
Contact information
Practice address
520 N KINGSBURY ST UNIT 3905, CHICAGO, IL 60654-8779
(312) 929-4492
(312) 929-4493
Mailing address
520 N KINGSBURY ST, # 3905, CHICAGO, IL 60654-8766
(312) 929-4492
(312) 929-4493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036078254
IL
Other
Enumeration date
11/03/2010
Last updated
03/07/2012
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