Chicago Medical Clinic LLC

NPI #1154640571 in Gurnee, Illinois

Provider Information

NPI Number: 1154640571
Entity Type: Organization
Organization Name: Chicago Medical Clinic LLC
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: May 25, 2010
Last Updated: Jun 7, 2013

Practice Location

Address: 200 S GREENLEAF ST
Address 2: SUITE A
City: Gurnee
State: Illinois
ZIP Code: 60031-3398
Phone: (847) 596-4521

Authorized Official

Name: DR. JOHN R KAPOOR, M.D., PH.D
Title: PHYSICIAN
Phone: (847) 596-4521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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