VIRU SC
Ambulatory Health at Fullerton Ave, Chicago, IL

License number
Illinois 209.014576
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MRS. MARTHA DE SANTIAGO FNP-BC
Title: NURSE PRACTITIONER
Phone: (773) 423-6178
Address
Address
2412 W Fullerton Ave, Chicago, IL 60647
National Provider ID: 1558812362
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VIRU SC at bizstanding.com

"VIRU" S.C

Chicago, IL 60647

Registration:
Aug 10, 2007
State ID:
65672936
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Jacqueline Olivo,2412 W Fullerton Ave, Chicago, IL 60634 (Physical)

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