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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 LINCOLN HWY, MOKENA, IL 60448-8208
(866) 389-2727
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
01/03/2024
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