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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
1025 RED OAK LN, SUITE 120, LINDENHURST, IL 60046-5017
(847) 336-6111
(847) 336-7566
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(615) 628-6038

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/17/2013
Last updated
10/17/2013
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