HomeNPI Verification

NPI Verification

National Provider Identifier: 1548492234

63rd Advanced Health Clinic INC

Organization

Primary Specialty

Family Medicine, Adolescent Medicine

Code: 207QA0000X

Practice Address

1249 W 63RD ST

CHICAGO, IL 606361947

Phone: 847-904-7500

NPI Enumeration Date

August 14, 2009

NPI Number

1548492234

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