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63RD ADVANCED HEALTH CLINIC INC — NPI 1548492234 – Denial Journal
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Organization

63RD ADVANCED HEALTH CLINIC INC

NPI 1548492234 Active Family Medicine, Adolescent Medicine
Quick Facts
NPI Number
1548492234
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2009-08-14
Last Updated (NPPES)
2009-08-14

Primary Specialty / Taxonomy

TaxonomyFamily Medicine, Adolescent Medicine
Taxonomy Code207QA0000X

Practice Address

1249 W 63RD ST
CHICAGO, IL 606361947

Phone: 847-904-7500

Fax: 847-904-7502

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.

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