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Specialty details in registry · Harvey, IL
At a glance
18 Wells Ave, Harvey, IL 60426-1217
NPPES record updated Feb 3, 2020. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
18 Wells AveHarvey, IL 60426-1217
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- Feb 3, 2020
- Record updated
- Feb 3, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
18 Wells AveHarvey, IL 60426-1217
- Phone
- (773) 703-0609
Mailing address
18 WELLS AVEHARVEY, IL 604261217
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