Usrc Bolingbrook Llc

NPI 1497015390 - Clinic/Center - 261QE0700X

NPI Details
NPI 1497015390
Enumeration Date 05/24/2012
Last Updated 10/25/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THOMAS L. THOMAS
Position AUTHORIZED REPRESENTATIVE
Phone (630) 759-1943
Fax (630) 759-2314
Practice Location
396 REMINGTON BLVD
STE 110
BOLINGBROOK IL, 60440-4302, US
Phone (630) 759-1943
Fax (630) 759-2314
Business Location
PO BOX 19119
JONESBORO AR, 72403-6601, US
Phone (870) 931-5400
Fax (870) 931-5418
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Usrc Bolingbrook Llc NPI is 1497015390, taxonomy code is 261QE0700X Usrc Bolingbrook Llc physically located at 396 Remington Blvd, Bolingbrook IL, 60440-4302. NPI Number 1033115704 has the healthcare provider type.

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1497015390 NPI number is provided on an as is basis without warranty of any kind. 1497015390 is maintained by the National Plan & Provider Enumeration System. The contents of Usrc Bolingbrook Llc are for informational purposes only.