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CHICAGO, IL 606114521
Organization
360 MEDICAL GROUP PROFESSIONAL CORP
NPI 1336073840
Active
Family Medicine
Quick Facts
NPI Number
1336073840
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2026-06-10
Last Updated (NPPES)
2026-09-04
Primary Specialty / Taxonomy
| Taxonomy | Family Medicine |
| Taxonomy Code | 207Q00000X |
Mailing Address
980 N MICHIGAN AVE STE 1090CHICAGO, IL 606114521
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.