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Streator Chidlrens Clinic
Primary Care Clinic/Center in Streator, Illinois
NPI 1720453202

Streator Chidlrens Clinic is a Primary Care Clinic/Center based in Streator, IL and is specialized in Primary Care. Streator Chidlrens Clinic practices in Streator, IL. The NPI Number for Streator Chidlrens Clinic is 1720453202 and holds a License No. 036091951 (Illinois).

The current practice location address for Streator Chidlrens Clinic is 111 Spring St Fl 5, Streator, IL and can be reached out via phone at 815-673-2353 and via fax at 815-673-2486.

Location: 111 Spring St Fl 5, Streator, IL, 61364-3332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720453202
Provider Name
Streator Chidlrens Clinic
Credential
Provider Entity Type
Organization
Address
111 Spring St Fl 5, Streator, IL, 61364-3332
Phone Number
815-673-2353
Fax Number
815-673-2486
Provider Enumeration Date
12/09/2015
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
036091951 05 IL
institution
Provider Business Practice Location Address Details
Address
111 Spring St Fl 5
City
Streator
State
Illinois
Zip
61364-3332
Phone Number
815-673-2353
Fax Number
815-673-2486
person
Provider Business Mailing Address Details
Address
111 Spring St Fl 5
City
Streator
State
Illinois
Zip
61364-3332
Phone Number
815-673-2353
Fax Number
815-673-2486
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
036091951 (Illinois)
Definition
Definition to come...
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