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WAUKEGAN CLINIC CORP NPI 1538597117


NPI Information

NPI: 1538597117
Provider Name: WAUKEGAN CLINIC CORP
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1025 RED OAK LN
SUITE 120
LINDENHURST, IL
ZIP 60046
Phone: (847) 336-6111
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WAUKEGAN CLINIC CORP is a durable medical equipment medical supplies in Lindenhurst, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WAUKEGAN CLINIC CORP NPI is 1538597117. The provider is registered as an organization entity type.

The provider's business location address is:

1025 RED OAK LN
SUITE 120
LINDENHURST, IL
ZIP 60046-017
Phone: (847) 336-6111
Fax: (847) 336-7566

The provider's authorized official is Sophia Arwood .
The authorized official title is Director and has the following contact phone number (615) 628-6038.

The enumeration date for this NPI number is 10/17/2013 and was last updated on 10/17/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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