Organization
PLCCA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE P BISHOP (C)
(708) 450-3500
Entity
Organization
Contact information
Practice address
411 MADISON ST, MAYWOOD, IL 60153-2136
(708) 236-5038
Mailing address
411 MADISON ST, MAYWOOD, IL 60153-2136
(708) 236-5038
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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