Signature Medical Clinic LLC
NPI #1558995779 in Montgomery, Illinois
Provider Information
- NPI Number
- 1558995779
- Entity Type
- Organization
- Organization Name
- Signature Medical Clinic LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Feb 26, 2020
- Last Updated
- Dec 18, 2024
Practice Location
- Address
- 2811 OAKMONT DR
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-5034
- Phone
- (312) 404-4162
Authorized Official
- Name
- ARLETTA A DE VRIES, NP
- Title
- OWNER
- Phone
- (630) 486-7437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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