Organization
INSURANCE PHYS SVCS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCIANO MASTROLIA CPME-711885 (MANAGER/EXAMINER)
(630) 295-9630
Entity
Organization
Contact information
Practice address
208 RINGNECK, CT, IPS, INC., BLOOMINGDALE, IL 60108
(630) 295-9630
(630) 295-9631
Mailing address
208 RINGNECK, CT, IPS, INC., BLOOMINGDALE, IL 60108
(630) 295-9630
(630) 295-9631
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
711885
IL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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