Employee Health Advocate Ltd
Clinic/Center, Community Health in Wauconda, IL. Organization (NPI-2).
NPI number1639128200
StatusActive
Last updated in NPPESMar 21, 2008
Details
- NPI
- 1639128200
- Entity type
- Organization (NPI-2)
- Legal business name
- Employee Health Advocate Ltd
- Organization subpart
- No
- Enumeration date
- May 9, 2006
- Last updated
- Mar 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1500X | Clinic/Center, Community Health | 036-073243 | IL | Yes |
Practice location
26241 W Bonner RdWauconda, IL 60084-3211
Phone 847-358-7468 · Fax 847-358-2808
Mailing address
Po Box 74Fox River Grove, IL 60021-0074
Phone 847-358-7468 · Fax 847-358-2808
Authorized official
Rasheed Soofi
Ceo
8473587468
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