OrganizationActive
Aj Visiting Physicians Service Corporation
NPI 1417497033 · Adult Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1417497033
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Joaquin, President(312) 670-0819
- License
- 036071319 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 N State St
Suite 4124
Chicago, IL 60654-3036
Phone: (312) 670-0819
Fax: (312) 670-0829
Approximate (ZIP-level) locationGet directions
Mailing address
300 N State St
Chicago, IL 60654-5414
Registry dates
- Enumerated
- 2017-03-01
- Last updated
- 2017-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.