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Organization
WOODSTOCK URGENT CARE AND INTEGRATED MEDICINE PC
Active
Organization
WOODSTOCK URGENT CARE AND INTEGRATED MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELA IDUNA MD (PRESIDENT)
(510) 666-5062
Entity
Organization
Contact information
Practice address
131 E CALHOUN ST, WOODSTOCK, IL 60098-3216
(510) 666-5062
Mailing address
131 E CALHOUN ST, WOODSTOCK, IL 60098-3216
(510) 666-5062
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
036.134053
IL
Other
Enumeration date
12/30/2013
Last updated
02/13/2014
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