Otero Medical Center, SC
Otero Medical Center, SC provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
4911 W Fullerton AveChicago, IL 60639-2505 Not confirmed with CMS for 13 years — call before visiting
Phone: (773) 772-4900
Fax: (773) 772-0298
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
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036102552 (IL) |
|---|
Record details
| NPI number | 1639306640 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Otero — President · (773) 772-4900 |
| NPI enumerated | June 17, 2009 |
| Last updated in NPPES | August 8, 2013 |
| Mailing address | 4911 W Fullerton Ave, Chicago, IL 60639-2505 |
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