NPI | 1033154786 |
---|---|
Doing Business As | WAUKEGAN CLINIC CORPORATION |
Entity Type | Organization |
Authorized Contact | LOUIS R JOSEPH Vice President 615-373-7630 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036143179) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2019-07-19 |