NPI | 1225416308 |
---|---|
Doing Business As | DIVERSEY HEALTHCARE CLINIC |
Entity Type | Organization |
Authorized Contact | RICARDO MACHADO President 708-738-7351 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036.120095) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-08-21 |