La Pieta Inc.
NPI #1851645097 in Glen Ellyn, Illinois
Provider Information
- NPI Number
- 1851645097
- Entity Type
- Organization
- Organization Name
- La Pieta Inc.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 8, 2012
- Last Updated
- Oct 8, 2018
Practice Location
- Address
- 800 ROOSEVELT RD
- City
- Glen Ellyn
- State
- Illinois
- ZIP Code
- 60137-5839
- Phone
- (888) 207-1283
Authorized Official
- Name
- NICOLE MOORE
- Title
- ADMINISTRATOR
- Phone
- (888) 207-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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