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NPI 1235456591 · Family Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1235456591
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Nave, President/Owner(708) 699-0293
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
8836 S Ashland Ave
Chicago, IL 60620-4956
Phone: (773) 629-6036
Fax: (773) 629-6852
Approximate (ZIP-level) locationGet directions
Mailing address
8539 S Saginaw Ave
Chicago, IL 60617-2444
Registry dates
- Enumerated
- 2010-04-27
- Last updated
- 2011-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.