Acosta Family Clinic
Clinic/Center, Primary Care in Gurnee, IL. Organization (NPI-2).
NPI number1477458644
StatusActive
Last updated in NPPESOct 8, 2026
Details
- NPI
- 1477458644
- Entity type
- Organization (NPI-2)
- Legal business name
- Acosta Family Clinic
- Organization subpart
- No
- Enumeration date
- Oct 8, 2026
- Certification date
- Oct 8, 2026
- Last updated
- Oct 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
6021 Washington StGurnee, IL 60031-5356
Phone 847-371-1615
Mailing address
12594 W Mawman AveBeach Park, IL 60087-2027
Authorized official
Daisy Acosta
Fnp/Owner
8473711615
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