Organization
LA SAGRADA FAMILIA MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO AVALOS M.D. (MEDICAL DIRECTOR)
(708) 222-9193
Entity
Organization
Contact information
Practice address
6013 W CERMAK RD, CICERO, IL 60804-2018
(708) 222-9193
(708) 222-9198
Mailing address
6013 W CERMAK RD, CICERO, IL 60804-2018
(708) 222-9193
(708) 222-9198
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036-114621
IL
Other
Enumeration date
04/25/2010
Last updated
12/04/2010
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