OrganizationActive
3p4care (il) LLC Avondale
NPI 1467820001 · Family Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1467820001
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- 3p4care (il) LLC
- Organization subpart
- Yes
- Authorized official
- Augustine Wong, Director(773) 654-1888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
3502 N Kedzie Ave
Chicago, IL 60618-5622
Phone: (773) 654-1888
Fax: (773) 754-7412
Approximate (ZIP-level) locationGet directions
Mailing address
3502 N Kedzie Ave
Chicago, IL 60618-5622
Other names (DBA / former)
- Doing business as
- 3p4care Avondale
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.