Organization · Type 2 NPI
The Illinois Medical Assistance Treatment Program LLC
Clinic/Center · Waukegan, IL
NPI number
1407008998
Active
Practice location
1738 Washington St
Waukegan, IL 60085-5137
Fax (847) 360-6277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | A27740001A (IL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Waukegan
- LJ Medication, Ltd.Clinic/Center Waukegan, IL NPI 1164063269
- Planned Parenthood of IllinoisClinic/Center Waukegan, IL NPI 1285350694
- I Am Man, Inc.Clinic/Center Waukegan, IL NPI 1285477364
- Consuelo, Inc.Clinic/Center Waukegan, IL NPI 1407555477
- Health Reach, IncClinic/Center Waukegan, IL NPI 1801032024
About NPI 1407008998
The Illinois Medical Assistance Treatment Program LLC's National Provider Identifier is 1407008998, issued on Oct 16, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Waukegan, IL. The record was last updated on Oct 16, 2008.