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Organization

ADULT PRIMARY CARE CENTER, LTD.

Active
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Organization

ADULT PRIMARY CARE CENTER, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT A. RAINES M.D. (PRESIDENT)
(708) 636-1601
Entity
Organization

Contact information

Practice address
10837 S CICERO AVE STE 320, OAK LAWN, IL 60453-5403
(708) 636-1601
Mailing address
4340 W 95TH ST, OAK LAWN, IL 60453-2696
(708) 636-1601

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
11/11/2008
Last updated
11/11/2008
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