| Uwc- Crystal Lake | |
|
360 Station Dr Ste 260a Crystal Lake IL 60014-7978 | |
| (312) 421-1016 | |
| (779) 201-4420 |
| Full Name | Uwc- Crystal Lake |
|---|---|
| Speciality | Clinic/center |
| Location | 360 Station Dr Ste 260a, Crystal Lake, Illinois |
| Authorized Official Name and Position | Erin Smith (PHARMACY DIRECTOR) |
| Authorized Official Contact | 8163041933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uwc- Crystal Lake 360 Station Dr Ste 260a Crystal Lake IL 60014-7978 Ph: (312) 421-1016 | Uwc- Crystal Lake 360 Station Dr Ste 260a Crystal Lake IL 60014-7978 Ph: (312) 421-1016 |
| NPI Number | 1245999663 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245999663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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