St Jude Medical Clinic SC
St Jude Medical Clinic SC provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
3943 W 31st StChicago, IL 60623-4936
Phone: (773) 523-8773
Fax: (773) 523-9259
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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 | 1326186941 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roma Shukla — Manager · (773) 523-8773 |
| NPI enumerated | February 3, 2007 |
| Last updated in NPPES | January 27, 2020 |
| Certification date | January 27, 2020 |
| Mailing address | 3943 W 31st St, Chicago, IL 60623-4936 |
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