Usacs Integrated Acute Care Services of Illinois, LLC
NPI #1235654757 in Blue Island, Illinois
Provider Information
- NPI Number
- 1235654757
- Entity Type
- Organization
- Organization Name
- Usacs Integrated Acute Care Services of Illinois, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 5, 2017
- Last Updated
- Aug 5, 2017
Practice Location
- Address
- 12935 GREGORY ST
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2428
- Phone
- (330) 493-4443
Authorized Official
- Name
- DOMINIC JOSEPH BAGNOLI JR., MD
- Title
- CEO
- Phone
- (330) 493-4443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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