Antioch Clinic,llc

NPI #1376686204 in Antioch, Illinois

Provider Information

NPI Number: 1376686204
Entity Type: Organization
Organization Name: Antioch Clinic,llc
Primary Specialty: Specialist
Enumeration Date: Feb 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 707 MAIN ST
City: Antioch
State: Illinois
ZIP Code: 60002-1321
Phone: (847) 395-1560

Authorized Official

Name: DR. DENNIS A THAIN, M.D.
Title: PHYSICIAN
Phone: (847) 395-1560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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