VIRU SC

CHICAGO, IL
NPI1558812362
Doing Business AsOLIVO WELLNESS CENTER
Entity TypeOrganization
Authorized ContactMARTHA DE SANTIAGO
Nurse Practitioner
773-423-6178
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: IL  209.014576)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
VIRU SC
2412 W FULLERTON AVE
CHICAGO, IL 60647-7435
Phone number: 773-384-7977
Mailing Address
VIRU SC
2412 W FULLERTON AVE
CHICAGO, IL 60647-7435
Phone number: 773-384-7977