Organization
WAUKEGAN CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA ARWOOD (DIRECTOR)
(615) 628-6038
Entity
Organization
Contact information
Practice address
202 S GREENLEAF ST, SUITE E, GURNEE, IL 60031-3399
(847) 336-6111
(847) 336-7566
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 628-6038
(615) 628-6832
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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