Organization
PEDIATRIC URGENT CARE OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO REYES M.D. (OWNER)
(630) 487-1556
Entity
Organization
Contact information
Practice address
215 REMINGTON BLVD, SUITE K, BOLINGBROOK, IL 60440-3656
(630) 487-1556
Mailing address
5611 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6069
(817) 485-6000
(214) 276-1472
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036091219
IL
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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