Viru SC
Viru SC is a Primary Care Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
2412 W Fullerton AveChicago, IL 60647-7435
Phone: (773) 384-7977
Fax: (773) 451-8285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 209.014576 (IL) |
|---|
Record details
| NPI number | 1558812362 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Martha De Santiago — Nurse Practitioner · (773) 423-6178 |
| Other names | Olivo Wellness Center |
| NPI enumerated | October 17, 2016 |
| Last updated in NPPES | October 17, 2016 |
| Mailing address | 2412 W Fullerton Ave, Chicago, IL 60647-7435 |
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