OrganizationActive
31st Std Clinic
NPI 1821159625 · Public Health & General Preventive Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1821159625
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Sarai Jackson, Director of Revenue
Practice location
530 E 31st St
Std 31st Street Clinic
Chicago, IL 60616-4008
Phone: (312) 747-9792
Fax: (312) 747-9447
Mailing address
333 S State Street
Chicago, IL 60604
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2008-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.