The Illinois Medical Assistance Treatment Program LLC
The Illinois Medical Assistance Treatment Program LLC is a Clinic/Center in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1738 Washington StWaukegan, IL 60085-5137
Phone: (847) 360-1019
Fax: (847) 360-6277
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence A27740001A (IL) |
|---|
Record details
| NPI number | 1407008998 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Keller — Medical Director · (847) 360-1019 |
| Other names | Green Dragonfly |
| NPI enumerated | October 16, 2008 |
| Last updated in NPPES | October 16, 2008 |
| Mailing address | 1738 Washington St, Waukegan, IL 60085-5137 |
Other providers in Waukegan
-
American Current Care of Illinois PC
3043A Belvidere Rd, Waukegan, IL 60085-6013 · (224) 572-9904
-
Health Reach, Inc
1800 Grand Ave, Waukegan, IL 60085 · (847) 360-8800
-
Kids Above All Illinois
415 Washington St, Waukegan, IL 60085-5564 · (773) 832-7760
-
Planned Parenthood of Illinois
1601 N Lewis Ave, Waukegan, IL 60085-1761 · (847) 672-2237