Organization · Type 2 NPI
Clear Ridge Wellness Center Ltd.
Primary Care Clinic/Center · Chicago, IL
NPI number
1174803878
Active
Practice location
6745 W 63rd St
Chicago, IL 60638-4003
Fax (773) 229-8545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 209.008667 (IL) |
| Primary Care Clinic/Center | 261QP2300X | 041.283154 (IL) |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
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About NPI 1174803878
Clear Ridge Wellness Center Ltd.'s National Provider Identifier is 1174803878, issued on Aug 25, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chicago, IL. The record was last updated on Feb 13, 2012.