Organization
WOODSTOCK URGENT CARE AND INTEGRATED MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELA IDUNA MD (PRESIDENT)
(510) 666-5062
Entity
Organization
Contact information
Practice address
131 E CALHOUN ST, WOODSTOCK, IL 60098-3216
(510) 666-5062
Mailing address
131 E CALHOUN ST, WOODSTOCK, IL 60098-3216
(510) 666-5062
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
036.134053
IL
Other
Enumeration date
12/30/2013
Last updated
02/13/2014
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