Organization
TRI-CITIES IMMEDIATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS G DUARTE M.D. (MEDICAL DIRECTOR)
(630) 208-4015
Entity
Organization
Contact information
Practice address
815 N RANDALL RD, BATAVIA, IL 60510-1992
(630) 208-4015
(630) 208-0942
Mailing address
815 N RANDALL RD, BATAVIA, IL 60510-1992
(630) 208-4015
(630) 208-0942
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
0360865376
IL
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
01/05/2011
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