Organization
COMMUNITY CARES CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DANT (VICE PRESIDENT BUSINESS DEVELOPMENT)
(815) 756-1521
Entity
Organization
Contact information
Practice address
3100 SYCAMORE RD, SUITE 1024, DEKALB, IL 60115-9621
(815) 752-3253
Mailing address
3100 SYCAMORE RD, SUITE 1024, DEKALB, IL 60115-9621
(815) 752-3253
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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