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The Illinois Medical Assistance Treatment Program Llc
Clinic/Center in Waukegan, Illinois
NPI 1407008998

The Illinois Medical Assistance Treatment Program Llc is a Clinic/Center based in Waukegan, IL. The Illinois Medical Assistance Treatment Program Llc practices in Waukegan, IL. The NPI Number for The Illinois Medical Assistance Treatment Program Llc is 1407008998 and holds a License No. A27740001A (Illinois).

The current practice location address for The Illinois Medical Assistance Treatment Program Llc is 1738 Washington St, Waukegan, IL and can be reached out via phone at 847-360-1019 and via fax at 847-360-6277.

Location: 1738 Washington St, Waukegan, IL, 60085-5137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407008998
Provider Name
The Illinois Medical Assistance Treatment Program Llc
Credential
Provider Entity Type
Organization
Address
1738 Washington St, Waukegan, IL, 60085-5137
Phone Number
847-360-1019
Fax Number
847-360-6277
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1738 Washington St
City
Waukegan
State
Illinois
Zip
60085-5137
Phone Number
847-360-1019
Fax Number
847-360-6277
person
Provider Business Mailing Address Details
Address
1738 Washington St
City
Waukegan
State
Illinois
Zip
60085-5137
Phone Number
847-360-1019
Fax Number
847-360-6277
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A27740001A (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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