Organization
MIDWEST HYPERBARIC INSTITUTE, P.C.
Active
Organization
MIDWEST HYPERBARIC INSTITUTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUST MARTINUCCI M.D. (MEDICAL DIRECTOR)
(630) 378-1760
Entity
Organization
Contact information
Practice address
391 QUADRANGLE DR, SUITE S-1, BOLINGBROOK, IL 60440-3442
(630) 378-1760
(630) 378-1764
Mailing address
391 QUADRANGLE DR, SUITE S-1, BOLINGBROOK, IL 60440-3442
(630) 378-1760
(630) 378-1764
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
060.008568
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932263
BCBS-GROUP NUMBER
IL
Enumeration date
03/14/2007
Last updated
07/19/2011
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