Organization
HIPPOCRATES MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS BARAJAS (EXECUTIVE DIRECTOR)
(708) 446-4102
Entity
Organization
Contact information
Practice address
155 S SCHUYLER AVE, KANKAKEE, IL 60901-3807
(708) 446-4102
Mailing address
155 S SCHUYLER AVE, KANKAKEE, IL 60901-3807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
225100000X
Physical Therapist
—
—
364SF0001X
Family Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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