Alsip Medical Center
Organization Active NPI Family Medicine Physician · Alsip, IL
NPI 1487825089 · NPPES record last updated Mar 22, 2008
Key facts
- NPI
- 1487825089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALSIP MEDICAL CENTER
- Practice address
- 11808 S Pulaski Rd
Alsip, IL 60803-1608 - Phone
- (708) 489-6200
- NPI assigned
- Mar 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Miss Katie Cetera
- Title
- Office Manager
- Phone
- (708) 489-6200
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
11808 S Pulaski Rd
Alsip, IL 60803-1608
Mailing address
11808 S Pulaski Rd
Alsip, IL 60803-1608
Phone (708) 489-6200
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All providers in Alsip, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.