Organization
SIGNATURE MEDICAL CLINIC LLC
Active
Organization
SIGNATURE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLETTA A DE VRIES NP (OWNER)
(630) 486-7437
Entity
Organization
Contact information
Practice address
1717 W ALGONQUIN RD, MOUNT PROSPECT, IL 60056-5401
(224) 404-1338
Mailing address
7113 W HIGGINS AVE, CHICAGO, IL 60656-1903
(630) 486-7437
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
04/28/2026
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