Organization
AURORA WEST 129
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SIEKIERSKI (MEDICAID ADMIN)
(630) 844-4400
Entity
Organization
Contact information
Practice address
80 S RIVER ST, AURORA, IL 60506-5178
(630) 844-4400
Mailing address
80 S RIVER ST, AURORA, IL 60506-5178
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
04/20/2008
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