Organization
EISENHOWER COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE IRELAND (DIRECTOR)
(708) 424-9900
Entity
Organization
Contact information
Practice address
4625 W 107TH ST, OAK LAWN, IL 60453-5293
(708) 424-9900
Mailing address
4625 W 107TH ST, OAK LAWN, IL 60453-5293
(708) 424-9900
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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