Organization
GARFIELD RIDGE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANDFIELD (DIRECTOR)
(773) 229-0500
Entity
Organization
Contact information
Practice address
6950 W ARCHER AVE, CHICAGO, IL 60638-2300
(773) 229-0500
(773) 229-0800
Mailing address
6950 W ARCHER AVE, CHICAGO, IL 60638-2300
(773) 229-0500
(773) 229-0800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632789
BLUE CROSS #
IL
Enumeration date
05/05/2006
Last updated
08/22/2020
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