Organization
CHICAGO PEDIATRIC CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE EGUES MD (PRESIDENT)
(773) 960-2555
Entity
Organization
Contact information
Practice address
1918 W IRVING PARK ROAD, CHICAGO, IL 60613
(773) 477-4900
(773) 477-4478
Mailing address
1918 W IRVING PARK ROAD, CHICAGO, IL 60613
(773) 477-4900
(773) 477-4478
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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