Organization
GENESIS CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH M ORLAND M.D. (PRESIDENT)
(630) 653-6441
Entity
Organization
Contact information
Practice address
1725 S NAPERVILLE RD, SUITE 206, WHEATON, IL 60187-8155
(630) 653-6441
(630) 653-8409
Mailing address
1725 S NAPERVILLE RD, SUITE 206, WHEATON, IL 60187-8155
(630) 653-6441
(630) 653-8409
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
IL
Other
Enumeration date
07/21/2005
Last updated
08/22/2020
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