Organization
IL CCRC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY BARAX (AUTHORIZED OFFICIAL)
(847) 884-5000
Entity
Organization
Contact information
Practice address
350 W SCHAUMBURG RD, SCHAUMBURG, IL 60194-3464
(847) 884-5000
Mailing address
350 W SCHAUMBURG RD, SCHAUMBURG, IL 60194-3464
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/13/2024
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