Altagracia Clinic SC
Altagracia Clinic SC provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
3754 W Irving Park RdChicago, IL 60618
Phone: (773) 509-1467
Fax: (773) 509-1695
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X (IL) |
Record details
| NPI number | 1578643755 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ghassan Aswad — Ceo · (773) 509-1467 |
| Other names | Altagracia Medical Center |
| NPI enumerated | October 16, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 3754 W Irving Park Rd, Chicago, IL 60618 |
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