| Il Ccrc LLC | |
|
350 W Schaumburg Rd Schaumburg IL 60194-3464 | |
| (847) 884-5000 | |
| Not Available |
| Full Name | Il Ccrc LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 W Schaumburg Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Harry Barax (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8478845000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Il Ccrc LLC 350 W Schaumburg Rd Schaumburg IL 60194-3464 | Il Ccrc LLC 350 W Schaumburg Rd Schaumburg IL 60194-3464 Ph: (847) 884-5000 |
| NPI Number | 1558196923 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Medicare PECOS PAC ID | 8527503556 |
|---|---|
| Medicare Enrollment ID | O20241113002232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558196923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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