Organization
CHICAGO POLYCLINIC LLC
Active
Other names
Devon Poly Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED S SIRAJUDEEN (CEO)
(773) 521-6666
Entity
Organization
Contact information
Practice address
2446 W DEVON AVE, CHICAGO, IL 60659-1913
(773) 761-0500
Mailing address
2446 W DEVON AVE, CHICAGO, IL 60659-1913
(773) 761-0500
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
07/08/2022
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