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1300 N Highland Ave Aurora IL 60506-1451 | |
| (630) 892-7629 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1300 N Highland Ave, Aurora, Illinois |
| Authorized Official Name and Position | Carrie Rardin (OFFICE ASSISTANT) |
| Authorized Official Contact | 6302193172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1300 N Highland Ave Aurora IL 60506-1451 Ph: (630) 892-7629 | 1300 N Highland Ave Aurora IL 60506-1451 Ph: (630) 892-7629 |
| NPI Number | 1013227214 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 02/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013227214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036114032 (Illinois) | Primary |
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