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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
1261QH0100XHealth Service Clinic/Center
2261QP2000XPhysical Therapy Clinic/Center
3261QX0100XOccupational Medicine Clinic/Center

General Provider Information

NPI Number : 1861401648
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC
Provider Business Mailing Address
First Line : 5080 SPECTRUM DRIVE
Second Line : SUITE 1200 WEST
City : ADDISON
State : TX
Zip : 75001-4625
Country : US
Telephone Number : 800-232-3550
Fax Number : 972-387-8058
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 : 312-243-1698
Authorized Official
Title or Position : VICE PRESIDENT
Name : RAAD A YALDO
Credential : DO
Telephone Number : 972-364-8000
Provider Enumeration Date : 08/07/2006
Last Update Date : 06/20/2025

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

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