Whalio Doctors

NPI 1013239672

Michigan Avenue Primary Care, S.C.

Organisation Family Medicine Physician Chicago, IL

Practice location

Address
180 N Michigan Ave Suite 1605, Chicago, IL 60601-7478
Phone
(312) 201-1234
Fax
(312) 201-1202

Authorised official

Name
James a Runke
Title
Medical Director
Phone
(312) 201-1234

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Registry record

NPI
1013239672
Entity type
Organization
NPI issued
24 Feb 2010
Record last updated
22 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.