NPI 1093131518

Health Care Clinic

Organisation Health Service Clinic/Center Downers Grove, IL

Practice location

Address: 1000 Ogden Ave, Downers Grove, IL 60515-2803
Phone: (331) 777-8282
Mailing address: 1s125 Ingersoll Ln, Villa Park, IL 60181-3620

Authorised official

Name: Hana Malik
Title: Nurse Practitioner
Phone: (773) 988-0428

Registered specialties (2)

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence 209.006425 (IL)

Other Clinic/Center providers in Illinois →

Health Service Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence 041.331241 (IL)

Registry record

NPI: 1093131518
Entity type: Organization
NPI issued: 7 Mar 2014
Record last updated: 7 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.