Innovative Express Care, Sc

NPI 1104237114 - Clinic/Center - 261QU0200X

NPI Details
NPI 1104237114
Enumeration Date 05/13/2014
Last Updated 05/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RAHUL KUMAR RAHUL
Position PRESIDENT
Phone (312) 622-1062
Fax
Practice Location
2400 N ASHLAND AVE
CHICAGO IL, 60614-2021, US
Phone (312) 622-1062
Fax
Business Location
2800 N SEMINARY AVE
CHICAGO IL, 60657-4392, US
Phone (312) 622-1062
Fax
Toxanomy
Taxonomy Code 261QU0200X
License State Illinois
License Number 042620280
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According to our database, Innovative Express Care, Sc NPI is 1104237114, taxonomy code is 261QU0200X and license number is 042620280, license state is located at Illinois. Innovative Express Care, Sc physically located at 2400 N Ashland Ave, Chicago IL, 60614-2021. NPI Number 1033115704 has the healthcare provider type.

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1104237114 NPI number is provided on an as is basis without warranty of any kind. 1104237114 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Express Care, Sc are for informational purposes only.