| Organization Name: | MEDWORKS NEW LENOX CORP |
| NPI Number: | 1013235720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENLIN XIA (OWNER) |
| Mailing Address: | 250 E Maple St New Lenox |
| State: | IL US |
| Postal Code: | 604511871 |
| Phone Number: | 8154858544 |
| Fax Number: | 8154858531 |
| NPI Enumeration Date: | 05/06/2010 |
| NPI Last Update Date: | 12/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | 036-065509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |