Infant Welfare Clinic | |
320 Lake St Oak Park IL 60302-2612 | |
(708) 848-0528 | |
(708) 848-5855 |
Full Name | Infant Welfare Clinic |
---|---|
Speciality | Pediatrics |
Location | 320 Lake St, Oak Park, Illinois |
Authorized Official Name and Position | Elizabeth B Lippitt (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7088480528 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Infant Welfare Clinic 320 Lake St Oak Park IL 60302-2612 Ph: (708) 848-0528 | Infant Welfare Clinic 320 Lake St Oak Park IL 60302-2612 Ph: (708) 848-0528 |
NPI Number | 1134258916 |
---|---|
Provider Enumeration Date | 03/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134258916 | NPI | - | NPPES |
101348 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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