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NPI 1518607696

OrganizationActive

2001-15 N Parkside LLC

NPI 1518607696 · Clinic/Center · Chicago, IL

Provider details

NPI number: 1518607696
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Mona Khan, Physician

Practice location

405 N Wabash Ave Ste P2-A

Chicago, IL 60611-3744

Phone: (312) 955-4005

More IL providers

Mailing address

18140 Audette St

Dearborn, MI 48124-4217

Registry dates

Enumerated: 2022-03-29
Last updated: 2022-03-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

2001-15 N Parkside LLC — NPI 1518607696, Chicago, IL | NPI Central