FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC

CHICAGO, IL
NPI1740304757
Entity TypeOrganization
Authorized ContactRENLIN XIA
President
773-486-5001
Organization Subpart ?No
Primary Taxonomy261QX0100X Clinic/Center, Occupational Medicine
(Licence: IL  364061160)
Additional Taxonomies261QP2000X Clinic/Center, Physical Therapy
(Licence: IL  364061160)
261QU0200X Clinic/Center, Urgent Care
(Licence: IL  364061160)
Enumeration Date2007-03-16
Last Update Date2010-04-13
Business Address
FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC
3409 W FULLERTON AVE
CHICAGO, IL 60647-2415
Phone number: 773-486-5001
Mailing Address
FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC
3409 W FULLERTON AVE
CHICAGO, IL 60647-2415
Phone number: 773-486-5001