Organization · Type 2 NPI
Diversey Health Care Clinic Inc
Primary Care Clinic/Center · Chicago, IL
NPI number
1225416308
Active
Practice location
4911 W Diversey Ave
Chicago, IL 60639-1705
Fax (855) 299-4948
Mailing address
349 Buckingham Ct
Lombard, IL 60148-1667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 036.120095 (IL) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1225416308
Diversey Health Care Clinic Inc's National Provider Identifier is 1225416308, issued on May 11, 2015. 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 Aug 21, 2015.