Organization
PHYSICIANS INTEGRATED QUALITY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN N. HNATUSKO (ADMINISTRATOR)
(877) 226-3676
Entity
Organization
Contact information
Practice address
8505 W 191ST ST, MOKENA, IL 60448-8443
(877) 226-3676
Mailing address
PO BOX 728, FRANKFORT, IL 60423-0728
(877) 226-3676
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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