NPI 1104693845
Fullerton Drake Medical Center
Practice location
- Address
- 3518 W Fullerton Ave, Chicago, IL 60647-2418
- Phone
- (773) 278-0334
Authorised official
- Name
- Mark K Gerber
- Title
- President
- Phone
- (773) 278-0334
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1104693845
- Entity type
- Organization
- NPI issued
- 4 Dec 2023
- Record last updated
- 4 Dec 2023
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.