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1n131 County Farm Rd Winfield IL 60190-2000 | |
| (630) 682-3871 | |
| (630) 682-4492 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 1n131 County Farm Rd, Winfield, Illinois |
| Authorized Official Name and Position | Matthew Lowe (CFO) |
| Authorized Official Contact | 6306823871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1n131 County Farm Rd Winfield IL 60190-2000 Ph: (630) 682-3871 | 1n131 County Farm Rd Winfield IL 60190-2000 Ph: (630) 682-3871 |
| NPI Number | 1790348555 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790348555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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