Organization
OAK PARK VA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT)
(202) 254-0339
Entity
Organization
Contact information
Practice address
149 S OAK PARK AVE, OAK PARK, IL 60302-2901
(708) 386-3008
(708) 386-3189
Mailing address
149 S OAK PARK AVE, OAK PARK, IL 60302-2901
(708) 386-3008
(708) 386-3189
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
05/08/2008
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