Eisenhower Cooperative

NPI 1366587446 - Clinic/Center - 261QS1000X

NPI Details
NPI 1366587446
Enumeration Date 02/20/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUE SUE
Position DIRECTOR
Phone (708) 424-9900
Fax
Practice Location
4625 W 107TH ST
OAK LAWN IL, 60453-5293, US
Phone (708) 424-9900
Fax
Business Location
4625 W 107TH ST
OAK LAWN IL, 60453-5293, US
Phone (708) 424-9900
Fax
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, Eisenhower Cooperative NPI is 1366587446, taxonomy code is 261QS1000X Eisenhower Cooperative physically located at 4625 W 107th St, Oak Lawn IL, 60453-5293. NPI Number 1033115704 has the healthcare provider type.

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1366587446 NPI number is provided on an as is basis without warranty of any kind. 1366587446 is maintained by the National Plan & Provider Enumeration System. The contents of Eisenhower Cooperative are for informational purposes only.