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Contact Information

CHICAGO NORTH MEDICAL PARTNERSHIP
5308 N BROADWAY ST
CHICAGO, IL60640-2312
 Phone: 773-784-2822
 Fax: 773-784-3931
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for CHICAGO NORTH MEDICAL PARTNERSHIP · (Female)

NPI Number 1467669200
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 04/16/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036047143
  • IL License # 036067628
  • IL Medicaid 036047143
  • IL Medicaid 036067628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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