VIVACIOUS GROUP INC.

BURR RIDGE, IL
NPI1275702888
Entity TypeOrganization
Authorized ContactANTO MALIAKKAL
President
630-835-7613
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2008-02-27
Last Update Date2023-05-31
Business Address
VIVACIOUS GROUP INC.
8S165 S VINE ST
BURR RIDGE, IL 60527-5541
Phone number: 630-835-7613
Mailing Address
VIVACIOUS GROUP INC.
8S165 S VINE ST
BURR RIDGE, IL 60527-5541
Phone number:
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