Select Med Network
Clinic/Center, Corporate Health in Mount Prospect, IL. Organization (NPI-2).
NPI number1093453086
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1093453086
- Entity type
- Organization (NPI-2)
- Legal business name
- Select Med Network
- Organization subpart
- No
- Enumeration date
- May 20, 2022
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1800X | Clinic/Center, Corporate Health | – | – | Yes |
Practice location
901 N Quince LnMount Prospect, IL 60056-1501
Phone 847-687-9535
Mailing address
9 S Elmhurst Rd Unit 350Prospect Heights, IL 60070-7912
Phone 847-687-9535
Authorized official
Vicky Chiakulas
President
8476879535
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