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Contact Information

WAUKEGAN CLINIC CORP
1025 RED OAK LN
SUITE 120
LINDENHURST, IL60046-5017
 Phone: 847-336-6111
 Fax: 847-336-7566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WAUKEGAN CLINIC CORP

NPI # 1538597117
LBN Legal business name WAUKEGAN CLINIC CORP
Authorized official SOPHIA ARWOOD - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2013
Last updated 10/17/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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