Organization
ADULT PRIMARY CARE CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A. RAINES M.D. (PRESIDENT)
(708) 636-1601
Entity
Organization
Contact information
Practice address
10837 S CICERO AVE STE 320, OAK LAWN, IL 60453-5403
(708) 636-1601
Mailing address
4340 W 95TH ST, OAK LAWN, IL 60453-2696
(708) 636-1601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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