Vaccine Clinics Sc
NPI #1619756889 in Lincolnwood, Illinois
Provider Information
- NPI Number
- 1619756889
- Entity Type
- Organization
- Organization Name
- Vaccine Clinics Sc
- Primary Specialty
- General Practice
- Enumeration Date
- Sep 26, 2023
- Last Updated
- Sep 26, 2023
Practice Location
- Address
- 7257 N LINCOLN AVE
- City
- Lincolnwood
- State
- Illinois
- ZIP Code
- 60712-1810
- Phone
- (917) 275-5134
Authorized Official
- Name
- JUDAH KANOWITZ
- Title
- AUTHORIZED OFFICIAL
- Phone
- (917) 275-5134
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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