Organization Name: | AMERICAN CURRENT CARE PA |
NPI Number: | 1205015781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM TOM FOGARTY (PRESIDENT) |
Mailing Address: | 8125 River Drive Suite 102 Morton Grove |
State: | IL US |
Postal Code: | 60053 |
Phone Number: | 8474701720 |
Fax Number: | 8474701723 |
NPI Enumeration Date: | 10/31/2007 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |