Organization
AGAPE MEDICAL CENTER S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIZ C SUDBRACK MD (PRESIDENT)
(773) 227-9225
Entity
Organization
Contact information
Practice address
4020 W ARMITAGE AVE, CHICAGO, IL 60639-3739
(773) 227-9225
Mailing address
5401 N CENTRAL AVE, CHICAGO, IL 60630-1304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/28/2007
Last updated
07/28/2007
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