The Illinois Medical Assistance Treatment Program Llc

  • 1407008998 NPI Number
  • |
  • Actived: 11 years ago
  • |
According to our database, NPI number for The Illinois Medical Assistance Treatment Program Llc is 1407008998 and actived since Thursday, October 16 2008. The Illinois Medical Assistance Treatment Program Llc is an Organization provider specializes in Clinic/Center. Provider information was last updated on 10/16/2008.

Recently Active NPIs

Overview of The Illinois Medical Assistance Treatment Program Llc

  • NPI number: 1962049064
  • Provider type: Organization
  • Specialty: Clinic/Center
  • Active since: 10/16/2008
  • Last updated: 10/16/2008

Primary Scrop of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: A27740001A
  • License State: IL

Provider Mailing Address

  • Address: 1738 Washington St
    Waukegan, IL 60085
  • Phone: 847-360-1019
  • Fax: 847-360-6277

Provider Practice Location

  • Address: 1738 Washington St
    Waukegan, IL 60085
  • Phone: 847-360-1019
  • Fax: 847-360-6277

Authorized Official

  • Name: DR. Richard L Keller
  • Position/Title: Medical Director
  • Telephone Number: 847-360-1019

Scope of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: A27740001A
  • License State: IL
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for The Illinois Medical Assistance Treatment Program Llc?
  • A: The npi number for The Illinois Medical Assistance Treatment Program Llc is 1407008998.
  • Q: What are The Illinois Medical Assistance Treatment Program Llc's specialties?
  • A: The Illinois Medical Assistance Treatment Program Llc's specialties are Clinic/Center and different specialities.
  • Q: Where is The Illinois Medical Assistance Treatment Program Llc business practice location?
  • A: The Illinois Medical Assistance Treatment Program Llc business practice location is 1738 Washington St, Waukegan, IL 60085.
  • Q: How to contact The Illinois Medical Assistance Treatment Program Llc?
  • A: You can contact The Illinois Medical Assistance Treatment Program Llc via 847-360-1019.
  • Q: What is the authorized official for The Illinois Medical Assistance Treatment Program Llc?
  • A: The authorized office name is DR. Richard L Keller with position/title is Medical Director and you can reach the authorized official via phone number 8473601019.