Organization
NOCD WASHINGTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY TRUSKY (COO)
(847) 436-3265
Entity
Organization
Contact information
Practice address
2320 130TH AVE NE STE 110, BELLEVUE, WA 98005-1752
(425) 822-0242
Mailing address
225 N MICHIGAN AVE STE 1430, CHICAGO, IL 60601-7653
(847) 436-3265
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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