Organization
TOWN OF CICERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L SCHULTZ (CHIEF FINANCIAL OFFICER)
(708) 656-3600
Entity
Organization
Contact information
Practice address
2250 S 49TH AVE, CICERO, IL 60804-2460
(708) 656-3600
(708) 652-7480
Mailing address
4949 W CERMAK RD, CICERO, IL 60804
(708) 656-3600
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
11/23/2010
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