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Organization
PEDIATRIC URGENT CARE OF ILLINOIS, LLC
Active
Organization
PEDIATRIC URGENT CARE OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO REYES M.D. (OWNER)
(630) 487-1556
Entity
Organization
Contact information
Practice address
215 REMINGTON BLVD, SUITE K, BOLINGBROOK, IL 60440-3656
(630) 487-1556
Mailing address
5611 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6069
(817) 485-6000
(214) 276-1472
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036091219
IL
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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