Chicago Medical and Surgical Specialists, S. C.

NPI #1316310782 in Chicago, Illinois

Provider Information

NPI Number: 1316310782
Entity Type: Organization
Organization Name: Chicago Medical and Surgical Specialists, S. C.
Primary Specialty: Phlebology
Enumeration Date: Nov 7, 2015
Last Updated: Nov 7, 2015

Practice Location

Address: 1645 W NORTH AVE
City: Chicago
State: Illinois
ZIP Code: 60622-2543
Phone: (224) 404-1097

Authorized Official

Name: DR. SAMSON M. CHAN, M. D.
Title: MEDICAL DIRECTOR
Phone: (317) 908-8833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Phlebology	202K00000X	Primary

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