| Infant Welfare Clinic | |
|
320 Lake St Oak Park IL 60302-2612 | |
| (708) 848-0528 | |
| (708) 848-5855 |
| Full Name | Infant Welfare Clinic |
|---|---|
| Speciality | Pediatrics |
| Location | 320 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Elizabeth B Lippitt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7088480528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infant Welfare Clinic 320 Lake St Oak Park IL 60302-2612 Ph: (708) 848-0528 | Infant Welfare Clinic 320 Lake St Oak Park IL 60302-2612 Ph: (708) 848-0528 |
| NPI Number | 1134258916 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134258916 | NPI | - | NPPES |
| 101348 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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