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Organization
MINUTECLINIC DIAGNOSTIC OF ILLINOIS PLLC
Active
Organization
MINUTECLINIC DIAGNOSTIC OF ILLINOIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JEAN PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization
Contact information
Practice address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
(866) 389-2727
(401) 406-3539
Mailing address
1 CVS DR, MINUTECLINIC MC-2295, WOONSOCKET, RI 02895-6146
(401) 770-3813
(401) 406-3539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/17/2007
Last updated
07/24/2024
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