Centro Medico La Villita SC
Centro Medico La Villita SC provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
3356 W 26th StChicago, IL 60623-4037
Phone: (773) 522-7240
Fax: (773) 522-1343
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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 (IL) |
|---|
Record details
| NPI number | 1457554404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carmen Matchain — Medical Assistant · (773) 522-7240 |
| NPI enumerated | June 7, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3356 W 26th St, Chicago, IL 60623-4037 |
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