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NPI Code Detail

MEDICARE: OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC

MEDICARE: OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0100XOccupational Medicine Clinic/Center
2261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1073954384
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Provider Business Mailing Address
First Line : 5080 SPECTRUM DR
Second Line : SUITE 1200 WEST
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 972-720-7772
Fax Number : 214-775-4502
Provider Business Practice Location Address
First Line : 1030 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60642-5671
Country : US
Telephone Number : 312-243-1574
Fax Number : 214-775-4502
Authorized Official
Title or Position : PRESIDENT AND TREASURER
Name : DR. RAAD YALDO
Credential : DO
Telephone Number : 972-364-8000
Provider Enumeration Date : 07/15/2013
Last Update Date : 06/30/2016

Similar Medicare Providers

1861401648 — OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Practice Location Address:
1030 W CHICAGO AVE
CHICAGO, IL
60642-5671
Practice Phone: 312-243-1574
Practice Fax: 312-243-1698
1902098742 — AMERICAN CURRENT CARE OF ILLINOIS PC
Practice Location Address:
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1952742645 — AMERICAN CURRENT CARE OF ILLINOIS PC
Practice Location Address:
1030 W CHICAGO AVE
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Practice Phone: 312-243-1574
Practice Fax: 312-243-1698
1104368802 — MARY COLLIER ATC
Practice Location Address:
1030 W CHICAGO AVE
CHICAGO, IL
60642-5671
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Practice Fax:
1235660325 — DR. AGNI REBECCA KAMBERI MD
Practice Location Address:
1030 W CHICAGO AVE
CHICAGO, IL
60642-5671
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Practice Fax:
1295423549 — ELIZABETH ANN RUNGE DPT
Practice Location Address:
1030 W CHICAGO AVE
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60642-5671
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Practice Fax:

Directions to “OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC ” Practice Location

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