| Solid Rock Care Center Ii | |
|
228 Madison St Oak Park IL 60302-4194 | |
| (708) 358-8040 | |
| (708) 358-8049 |
| Full Name | Solid Rock Care Center Ii |
|---|---|
| Speciality | General Practice |
| Location | 228 Madison St, Oak Park, Illinois |
| Authorized Official Name and Position | Larry Smith (CEO) |
| Authorized Official Contact | 7083588040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solid Rock Care Center Ii 228 Madison St Oak Park IL 60302-4194 Ph: (708) 358-8040 | Solid Rock Care Center Ii 228 Madison St Oak Park IL 60302-4194 Ph: (708) 358-8040 |
| NPI Number | 1780877993 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780877993 | NPI | - | NPPES |
| 6030201 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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