NPI 1316310782

Chicago Medical and Surgical Specialists, S. C.

Organisation Phlebology Physician Chicago, IL

Practice location

Address: 1645 W North Ave, Chicago, IL 60622-2543
Phone: (224) 404-1097
Mailing address: 474 N Lake Shore Dr 5206, Chicago, IL 60611-3400

Authorised official

Name: Samson M. Chan
Title: Medical Director
Phone: (317) 908-8833

Registered specialties (2)

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 036134419 (IL)

Other Phlebology providers in Illinois →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036134419 (IL)

Other Surgery providers in Illinois →

Registry record

NPI: 1316310782
Entity type: Organization
NPI issued: 7 Nov 2015
Record last updated: 7 Nov 2015

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.