FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC
Ambulatory Health at Fullerton Ave, Chicago, IL

License number
Illinois 364061160
Category
Ambulatory Health
Type
Physical Therapy
License number
Illinois 364061160
Category
Ambulatory Health
Type
Urgent Care
License number
Illinois 364061160
Category
Ambulatory Health
Type
Occupational Medicine
Owner
Name: RENLIN XIA MD
Title: PRESIDENT
Phone: (773) 486-5001
Address
Address
3409 W Fullerton Ave, Chicago, IL 60647
National Provider ID: 1740304757
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE S.C

Renlin Xia 3412 West Fullerton, Chicago, IL 60647

Registration:
Nov 29, 2006
State ID:
65234068
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
John Boland,200 W Adams St STE 2500, Chicago, IL 60606 (Physical)

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