COOK COUNTY

NPI # 

Practice Address:

15900 Cicero Ave

Oak Forest, IL, 60452

Practice Phone:

312-864-4779

Practice Fax:

312-864-9877

License Number:

0005272

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Urgent Care

Taxonomy Code:

261QU0200X