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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THE ILLINOIS MEDICAL ASSISTANCE TREATMENT PROGRAM LLC

Active Organization

THE ILLINOIS MEDICAL ASSISTANCE TREATMENT PROGRAM LLC is a Clinic/Center organization located in WAUKEGAN, Illinois. NPI 1407008998 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · WAUKEGAN, IL

Registration Details

NPI Number
1407008998
Provider Type
Organization
NPI Issued
Oct 16, 2008 (17.850521098091 yrs)
Last Updated
Oct 16, 2008
License
A27740001A (IL)

Practice Information

Address
1738 WASHINGTON ST
WAUKEGAN, IL, 600855137
Browse IL providers · Browse ZIP 60085
Phone
8473601019
Fax
8473606277
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in WAUKEGAN, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.