Organization · Type 2 NPI
Antioch Clinic,llc
Specialist · Antioch, IL
NPI number
1376686204
Active
Practice location
707 Main St
Antioch, IL 60002-1321
Fax (847) 395-4864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 36070072 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1376686204
Antioch Clinic,llc's National Provider Identifier is 1376686204, issued on Feb 14, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Antioch, IL. The record was last updated on Aug 22, 2020.