Mirshed Medical Center S C
Mirshed Medical Center S C provides Internal Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
4255 W 63rd StChicago, IL 60629-5041 Not confirmed with CMS for 17 years — call before visiting
Phone: (773) 424-4048
Fax: (773) 424-6463
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036-091913 (IL) |
|---|
Record details
| NPI number | 1083880637 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nayeh Mirshed — Executive Director · (773) 424-4048 |
| NPI enumerated | May 5, 2008 |
| Last updated in NPPES | November 5, 2008 |
| Mailing address | 4255 W 63rd St, Chicago, IL 60629-5041 |
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