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NPI Verification

National Provider Identifier: 1073490314

1977 Mesk Medical Group LLC

Organization

Primary Specialty

Registered Nurse, Wound Care

Code: 163WW0000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Registered Nurse, Wound Care

Code: 163WW0000X

Primary

Practice Address

2118 N HALSTED ST

CHICAGO, IL 606140758

Phone: 407-305-3791

NPI Enumeration Date

August 19, 2025

NPI Number

1073490314

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
1977 Mesk Medical Group LLC - NPI 1073490314 | Provider Verification | HormoneMap