VIRU SC

CHICAGO, IL
NPI1922294503
Entity TypeOrganization
Authorized ContactJACQUELINE OLIVO
President
773-716-7281
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-115930)
Enumeration Date2007-09-18
Last Update Date2021-07-13
Business Address
VIRU SC
2412 W FULLERTON AVE
CHICAGO, IL 60647-3155
Phone number: 773-423-6178
Mailing Address
VIRU SC
2412 W FULLERTON AVE
CHICAGO, IL 60647-3155
Phone number: 773-423-6178
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