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NPI Code Detail

MEDICARE: CITY OF HOPE MEDICAL GROUP OF ILLINOIS PLLC

MEDICARE: CITY OF HOPE MEDICAL GROUP OF ILLINOIS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1548258072
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF HOPE MEDICAL GROUP OF ILLINOIS PLLC
Provider Business Mailing Address
First Line : 2610 SHERIDAN RD
Second Line :
City : ZION
State : IL
Zip : 60099-2615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2520 ELISHA AVE
Second Line :
City : ZION
State : IL
Zip : 60099-2676
Country : US
Telephone Number : 847-746-4358
Fax Number : 847-746-4213
Authorized Official
Title or Position : CFO
Name : RICHARD LEE PIEKARZ
Credential :
Telephone Number : 847-731-4151
Provider Enumeration Date : 10/10/2005
Last Update Date : 06/04/2025

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