Integra Healthcare Sc
Internal Medicine in Waukegan, IL. Organization (NPI-2).
NPI number1083000350
StatusActive
Last updated in NPPESJan 4, 2019
Details
- NPI
- 1083000350
- Entity type
- Organization (NPI-2)
- Legal business name
- Integra Healthcare Sc
- Organization subpart
- No
- Enumeration date
- Apr 13, 2015
- Last updated
- Jan 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036.128223 | IL | Yes |
Practice location
2504 Washington St Ste 102Waukegan, IL 60085-4960
Phone 847-623-7590 · Fax 847-623-7591
Mailing address
5 Timberwood LnRiverwoods, IL 60015-2463
Phone 847-858-2083 · Fax 224-235-4415
Authorized official
Sachin Jain
Owner
8476237590
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