Fullerton Drake Medical Center

NPI #1104693845 in Chicago, Illinois

Provider Information

NPI Number
1104693845
Entity Type
Organization
Organization Name
Fullerton Drake Medical Center
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Dec 4, 2023
Last Updated
Dec 4, 2023

Practice Location

Address
3518 W FULLERTON AVE
ZIP Code
60647-2418
Phone
(773) 278-0334

Authorized Official

Name
DR. MARK K GERBER, MD
Title
PRESIDENT
Phone
(773) 278-0334

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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