| La Pieta Inc. | |
|
800 Roosevelt Rd Glen Ellyn IL 60137-5839 | |
| (888) 207-1283 | |
| (888) 283-2049 |
| Full Name | La Pieta Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 800 Roosevelt Rd, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Nicole Moore (ADMINISTRATOR) |
| Authorized Official Contact | 8882071283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Pieta Inc. 3731 Cindy Ln Glenview IL 60025-3781 Ph: (224) 703-2033 | La Pieta Inc. 800 Roosevelt Rd Glen Ellyn IL 60137-5839 Ph: (888) 207-1283 |
| NPI Number | 1851645097 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 10/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851645097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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