Skokie Family Clinic P.c.

NPI #1114250875 in Skokie, Illinois

Provider Information

NPI Number: 1114250875
Entity Type: Organization
Organization Name: Skokie Family Clinic P.c.
Primary Specialty: Clinic/Center
Enumeration Date: Sep 14, 2009
Last Updated: Sep 14, 2009

Practice Location

Address: 4726 OAKTON ST
City: Skokie
State: Illinois
ZIP Code: 60076-3000
Phone: (847) 674-0455

Authorized Official

Name: DR. DIMA HANNA, MD
Title: PHYSICIAN
Phone: (847) 778-6572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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