Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Portage Park Medical Group

Organization Family Medicine Physician · NPI 1184672966

Portage Park Medical Group provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3401 N Central Ave
Chicago, IL 60634-4426
Phone: (773) 286-8822
Fax: (773) 824-4997
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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 number1184672966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ansfield — Director · (773) 286-8822
NPI enumeratedMay 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3401 N Central Ave, Chicago, IL 60634-4426

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