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Organization
PEDIATRIC WALK-IN, LLC
Active
Organization
PEDIATRIC WALK-IN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CANGAS MD (CEO)
(618) 281-4325
Entity
Organization
Contact information
Practice address
109 W LEGION AVE, COLUMBIA, IL 62236-2341
(618) 281-4325
(618) 208-1313
Mailing address
109 W LEGION AVE, COLUMBIA, IL 62236-2341
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
036110913
IL
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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