Organization
REGENT BUNDLE OF RENO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LAU (CFO)
(708) 492-0531
Entity
Organization
Contact information
Practice address
4 WESTBROOK CORP CTR, SUITE 440, WESTCHESTER, IL 60154-5752
(708) 492-0531
Mailing address
4 WESTBROOK CORP CTR, SUITE 440, WESTCHESTER, IL 60154-5752
(708) 492-0531
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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