| Organization Name: | EXCEL OCCUPATIONAL HEALTH CLINIC S.C. |
| NPI Number: | 1902909906 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD J PILLAR (FACILITY MEDICAL DIRECTOR) |
| Mailing Address: | 5015 W 65th St Bedford Park |
| State: | IL US |
| Postal Code: | 606385701 |
| Phone Number: | 7089248000 |
| Fax Number: | 7089248008 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 12/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 060-007992 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |