| Cornell Abraxas Midwest | |
|
2221 64th St Woodridge IL 60517-2180 | |
| (630) 968-6477 | |
| Not Available |
| Full Name | Cornell Abraxas Midwest |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2221 64th St, Woodridge, Illinois |
| Authorized Official Name and Position | Inez C Ferrante (BUSINESS MANAGER) |
| Authorized Official Contact | 4197470819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornell Abraxas Midwest 2221 64th St Woodridge IL 60517-2180 Ph: (630) 968-6477 | Cornell Abraxas Midwest 2221 64th St Woodridge IL 60517-2180 Ph: (630) 968-6477 |
| NPI Number | 1669798526 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 04/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669798526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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