Provider Demographics
NPI:1164889754
Name:PHYSICIANS AT CALL
Entity Type:Organization
Organization Name:PHYSICIANS AT CALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:773-647-1380
Mailing Address - Street 1:5901 N. CICERO AVE STE 207
Mailing Address - Street 2:STE 207
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646
Mailing Address - Country:US
Mailing Address - Phone:773-647-1380
Mailing Address - Fax:773-526-7476
Practice Address - Street 1:5901 N. CICERO AVE
Practice Address - Street 2:STE 207
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646
Practice Address - Country:US
Practice Address - Phone:773-647-1380
Practice Address - Fax:773-526-7476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty