Whalio Doctors

NPI 1306170592

Sertoma Centre, INC.

Organisation Voluntary or Charitable Agency Alsip, IL

Practice location

Address
4100 W 127th St, Alsip, IL 60803-1925
Phone
(708) 371-9700
Fax
(708) 371-9700
Mailing address
4343 W 123rd St, Alsip, IL 60803-1807

Authorised official

Name
Gus van Den Brink
Title
Executive Director
Phone
(708) 371-9700

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X

Registry record

NPI
1306170592
Entity type
Organization
NPI issued
22 Sep 2009
Record last updated
22 Sep 2009

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.