NPI 1194910125
City of Chicago
Practice location
- Address
- 2849 N Clark St Lakeview N H C, Chicago, IL 60657
- Phone
- (312) 744-7448
- Fax
- (312) 747-9447
- Mailing address
- 111 W Washington St Fl 4, Chicago, IL 60602-2703
Authorised official
- Name
- Hillary Wang
- Title
- Projects Manager
- Phone
- (312) 747-8875
Registered specialties
Public Health & General Preventive Medicine Physician
Primary
Registry record
- NPI
- 1194910125
- Entity type
- Organization
- NPI issued
- 12 Sep 2007
- Record last updated
- 9 Jan 2025
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.