| Mainstay Clinics Inc | |
|
109 N Seymour Ave Mundelein IL 60060-2318 | |
| (224) 303-4138 | |
| Not Available |
| Full Name | Mainstay Clinics Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 109 N Seymour Ave, Mundelein, Illinois |
| Authorized Official Name and Position | Alexander Jarosz (TREASURER) |
| Authorized Official Contact | 2247170447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainstay Clinics Inc 17942 W Pond Ridge Cir Gurnee IL 60031-4534 Ph: (224) 303-4138 | Mainstay Clinics Inc 109 N Seymour Ave Mundelein IL 60060-2318 Ph: (224) 303-4138 |
| NPI Number | 1053816405 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 04/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053816405 | NPI | - | NPPES |
| 338829946001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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