Waukegan Clinic Corp

NPI 1093142135 - Internal Medicine - 207RH0003X

NPI Details
NPI 1093142135
Enumeration Date 10/03/2013
Last Updated 10/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SOPHIA SOPHIA
Position DIRECTOR
Phone (847) 336-6111
Fax (847) 336-7566
Practice Location
202 S GREENLEAF ST
SUITE E
GURNEE IL, 60031-3399, US
Phone (847) 336-6111
Fax (847) 336-7566
Business Location
PO BOX 689022
CHS/PPSI/SOPHIA ARWOOD
FRANKLIN TN, 37068-9022, US
Phone (615) 628-6038
Fax (615) 628-6832
Toxanomy
Taxonomy Code 207RH0003X
License State
License Number
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According to our database, Waukegan Clinic Corp NPI is 1093142135, taxonomy code is 207RH0003X Waukegan Clinic Corp physically located at 202 S Greenleaf St, Gurnee IL, 60031-3399. NPI Number 1033115704 has the healthcare provider type.

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1093142135 NPI number is provided on an as is basis without warranty of any kind. 1093142135 is maintained by the National Plan & Provider Enumeration System. The contents of Waukegan Clinic Corp are for informational purposes only.