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978 S Bartlett Rd Bartlett IL 60103-6500 | |
(630) 289-5290 | |
(630) 289-5291 |
Full Name | |
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Speciality | Clinic/center |
Location | 978 S Bartlett Rd, Bartlett, Illinois |
Authorized Official Name and Position | Herman K Lo (MANAGER) |
Authorized Official Contact | 6302895290 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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978 S Bartlett Rd Bartlett IL 60103-6500 Ph: (630) 289-5290 | 978 S Bartlett Rd Bartlett IL 60103-6500 Ph: (630) 289-5290 |
NPI Number | 1184959686 |
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Provider Enumeration Date | 10/16/2009 |
Last Update Date | 10/16/2009 |
Identifier | Type | State | Issuer |
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1184959686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 038009211 (Illinois) | Primary |
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