Organization
NORTH ELSTON IMMEDIATE & PRIMARY CARE
Active
Parent organization
MARION CHRONIC CARE, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARION CHRONIC CARE, LTD
Authorized official
DR. SYED JAFRI MD (PRESIDENT)
(601) 668-4105
Entity
Organization
Contact information
Practice address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
(773) 754-3504
Mailing address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
(773) 754-3504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036114889
IL
261QU0200X
Urgent Care Clinic/Center
Primary
036114889
IL
Other
Enumeration date
06/06/2012
Last updated
06/23/2014
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