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“Other Specialist/technologist” (Great Lakes, IL)

Location: Great Lakes, IL
Taxonomy: Other Specialist/technologist.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1083409973 — MR. JOHNNY IFOPO
Practice Location Address:
2410 SAMPSON ST
GREAT LAKES IL
60088-2942
Practice Phone: 520-490-5187
1285435172 — HEATHER KODER PTA
Practice Location Address:
USS TRANQUILITY 3410 ILLINOIS ST
GREAT LAKES IL
60088
Practice Phone: 224-392-6914
1306640495 — FELICIA TRULEY RUIZ
Practice Location Address:
2410 SAMPSON ST
GREAT LAKES IL
60088-2942
Practice Phone: 224-610-8555
1588468383 — DAVID EMILIO TORREZ
Practice Location Address:
3420 ILLINOIS ST
GREAT LAKES IL
60088-3161
Practice Phone: 224-610-8553
1750185831 — KELSIE LYNN HAMMAC
Practice Location Address:
3410 ILLINOIS ST
GREAT LAKES IL
60088-3120
Practice Phone: 847-688-1900

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