Fullerton Occupational Medicine & Immediate Care Sc

NPI 1740304757 - Clinic/Center - 261QP2000X

NPI Details
NPI 1740304757
Enumeration Date 03/16/2007
Last Updated 04/13/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RENLIN RENLIN
Position PRESIDENT
Phone (773) 486-5001
Fax
Practice Location
3409 W FULLERTON AVE
CHICAGO IL, 60647-2415, US
Phone (773) 486-5001
Fax
Business Location
3409 W FULLERTON AVE
CHICAGO IL, 60647-2415, US
Phone (773) 486-5001
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Illinois
License Number 364061160
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According to our database, Fullerton Occupational Medicine & Immediate Care Sc NPI is 1740304757, taxonomy code is 261QP2000X and license number is 364061160, license state is located at Illinois. Fullerton Occupational Medicine & Immediate Care Sc physically located at 3409 W Fullerton Ave, Chicago IL, 60647-2415. NPI Number 1033115704 has the healthcare provider type.

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1740304757 NPI number is provided on an as is basis without warranty of any kind. 1740304757 is maintained by the National Plan & Provider Enumeration System. The contents of Fullerton Occupational Medicine & Immediate Care Sc are for informational purposes only.