| Tratt Clinic SC | |
|
219 Bedford Rd Morris IL 60450-1442 | |
| (815) 942-3000 | |
| (815) 942-2333 |
| Full Name | Tratt Clinic SC |
|---|---|
| Speciality | General Practice |
| Location | 219 Bedford Rd, Morris, Illinois |
| Authorized Official Name and Position | Cesario M Cumba (OWNER/PRESIDENT) |
| Authorized Official Contact | 8159423000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tratt Clinic SC 219 Bedford Rd Morris IL 60450-1442 Ph: (815) 942-3000 | Tratt Clinic SC 219 Bedford Rd Morris IL 60450-1442 Ph: (815) 942-3000 |
| NPI Number | 1730466871 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730466871 | NPI | - | NPPES |
| 036049033 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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