Organization
ICRF, INC. MEDICAL PLAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA URUETA (OFFICE MANAGER)
(815) 741-4500
Entity
Organization
Contact information
Practice address
744 ESSINGTON RD, JOLIET, IL 60435-4912
(815) 741-4500
(815) 741-3600
Mailing address
744 ESSINGTON RD, JOLIET, IL 60435-4912
(815) 741-4500
(815) 741-3600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24906
IL
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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