2001-15 N PARKSIDE LLC
Organization (NPI-2)
Active
Clinic/Center
Provider Information
- NPI Number
1518607696- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 405 N WABASH AVE STE P2-A, CHICAGO, IL, 606113744
- Phone
- (312) 955-4005
Specialties & Taxonomies
Clinic/Center
Primary