Icrf, Inc. Medical Plaza

NPI #1780913152 in Joliet, Illinois

Provider Information

NPI Number: 1780913152
Entity Type: Organization
Organization Name: Icrf, Inc. Medical Plaza
Primary Specialty: Specialist
Enumeration Date: Dec 15, 2009
Last Updated: Dec 15, 2009

Practice Location

Address: 744 ESSINGTON RD
City: Joliet
State: Illinois
ZIP Code: 60435-4912
Phone: (815) 741-4500

Authorized Official

Name: MR. JOSHUA URUETA
Title: OFFICE MANAGER
Phone: (815) 741-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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