| Organization Name: | OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC |
| NPI Number: | 1114368412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAAD YALDO (PRESIDENT AND TREASURER) |
| Mailing Address: | 8755 S Harlem Ave Bridgeview |
| State: | IL US |
| Postal Code: | 604551905 |
| Phone Number: | 7084302295 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2013 |
| NPI Last Update Date: | 06/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |