Organization
TRATT CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESARIO M CUMBA M.D. (OWNER/PRESIDENT)
(815) 942-3000
Entity
Organization
Contact information
Practice address
219 BEDFORD RD, MORRIS, IL 60450-1442
(815) 942-3000
(815) 942-2333
Mailing address
219 BEDFORD RD, MORRIS, IL 60450-1442
(815) 942-3000
(815) 942-2333
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049033
—
IL
Enumeration date
11/03/2011
Last updated
11/03/2011
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