THE ILLINOIS MEDICAL ASSISTANCE TREATMENT PROGRAM LLC

Clinic/Center

Active Organization
NPI: 1407008998

Practice Address

1738 WASHINGTON ST
Waukegan, IL 60085

Phone: (847) 360-1019

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes A27740001A (IL)

Frequently Asked Questions

NPI 1407008998 is the National Provider Identifier for THE ILLINOIS MEDICAL ASSISTANCE TREATMENT PROGRAM LLC, a Clinic/Center provider located in Waukegan, IL. This NPI was enumerated on October 16, 2008.

Quick Facts

NPI
1407008998
Type
Organization
Enumerated
Oct 16, 2008
Last Updated
Oct 16, 2008

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