Organization Name: | WECARE FAMILY CLINIC LTD |
NPI Number: | 1114035391 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOANNA POZDAL (PRESIDENT) |
Mailing Address: | 800 Biesterfield Rd Wimmer Suite 204 Elk Grove Village |
State: | IL US |
Postal Code: | 600073361 |
Phone Number: | 6304358819 |
Fax Number: | 6303486248 |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 042-618891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |