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321 N Oak Ave Bartlett IL 60103-4051 | |
| (847) 608-6001 | |
| (847) 841-6739 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 321 N Oak Ave, Bartlett, Illinois |
| Authorized Official Name and Position | Jason Carey (CFO) |
| Authorized Official Contact | 8476086053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
370 Summit St Elgin IL 60120-3843 Ph: (847) 608-6001 | 321 N Oak Ave Bartlett IL 60103-4051 Ph: (847) 608-6001 |
| NPI Number | 1427504521 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427504521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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