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317 E Indian Trl Aurora IL 60505-1734 | |
| (708) 747-7100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 317 E Indian Trl, Aurora, Illinois |
| Authorized Official Name and Position | Christopher J Nordloh (CFO) |
| Authorized Official Contact | 7087477100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | 317 E Indian Trl Aurora IL 60505-1734 Ph: (708) 747-7100 |
| NPI Number | 1104954890 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104954890 | NPI | - | NPPES |
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