MPAC PHC OF IL PC

CHICAGO, IL
NPI1396402129
Entity TypeOrganization
Authorized ContactTIMOTHY MARTINEZ
CEO
888-660-4425
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2021-11-29
Last Update Date2021-12-10
Business Address
MPAC PHC OF IL PC
200 N LA SALLE ST STE 1550
CHICAGO, IL 60601-1034
Phone number: 888-705-8722
Mailing Address
MPAC PHC OF IL PC
PO BOX 5031 PMB 17336
EVANSTON, IL 60204-5031
Phone number: 888-705-8722