Bridgeport Family Medical Center SC
Bridgeport Family Medical Center SC provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
3201 S Wallace StChicago, IL 60616-3501 Not confirmed with CMS for 16 years — call before visiting
Phone: (312) 326-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1588983332 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerrold Schwartz — President · (312) 203-2714 |
| NPI enumerated | May 19, 2010 |
| Last updated in NPPES | May 19, 2010 |
| Mailing address | 3201 S Wallace, Chicago, IL 60611-6061 |
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