26th Street Medical, S.c.

NPI #1053518720 in Chicago, Illinois

Provider Information

NPI Number: 1053518720
Entity Type: Organization
Organization Name: 26th Street Medical, S.c.
Primary Specialty: Specialist
Enumeration Date: Jun 27, 2007
Last Updated: Mar 19, 2008

Practice Location

Address: 3814 W 26TH ST
City: Chicago
State: Illinois
ZIP Code: 60623-3807
Phone: (773) 522-5200

Authorized Official

Name: MRS. ANNA SAUCEDO, BS
Title: OFFICE ADMINISTRATOR
Phone: (773) 522-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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