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Robert A Larson Od Pc
Clinic/Center in Plainfield, Illinois
NPI 1881883585

Robert A Larson Od Pc is a Clinic/Center based in Plainfield, IL. Robert A Larson Od Pc practices in Plainfield, IL. The NPI Number for Robert A Larson Od Pc is 1881883585 and holds a License No. (Illinois).

The current practice location address for Robert A Larson Od Pc is 15420 S Rte 59, Plainfield, IL and can be reached out via phone at 815-436-8955 and via fax at 815-496-8745.

Location: 15420 S Rte 59, Plainfield, IL, 60544-1984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881883585
Provider Name
Robert A Larson Od Pc
Credential
Provider Entity Type
Organization
Address
15420 S Rte 59, Plainfield, IL, 60544-1984
Phone Number
815-436-8955
Fax Number
815-496-8745
Provider Enumeration Date
10/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0142300001 01 IL PTAN
institution
Provider Business Practice Location Address Details
Address
15420 S Rte 59
City
Plainfield
State
Illinois
Zip
60544-1984
Phone Number
815-436-8955
Fax Number
815-496-8745
person
Provider Business Mailing Address Details
Address
15420 S Rte 59
City
Plainfield
State
Illinois
Zip
60544-1984
Phone Number
815-436-8955
Fax Number
815-496-8745
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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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