Viru SC
Viru 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
2412 W Fullerton AveChicago, IL 60647-3155
Phone: (773) 423-6178
Fax: (773) 451-8285
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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 · Licence 036-115930 (IL) |
|---|
Record details
| NPI number | 1922294503 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacqueline Olivo — President · (773) 716-7281 |
| NPI enumerated | September 18, 2007 |
| Last updated in NPPES | July 13, 2021 |
| Certification date | July 13, 2021 |
| Mailing address | 2412 W Fullerton Ave, Chicago, IL 60647-3155 |
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