Walnut Grove Village, Llc

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NPI Provider: 1356368294
Contact Name: Koenig Suzanne
Position: President
Phone: (773) 202-0000

Walnut Grove Village, Llc Information:

Walnut Grove Village, Llc organization have npi 1356368294, taxonomy code is 314000000X with license number is 1740480 in . This Business address located in 1095 Twilight Dr, Morris, IL 60450 Illinois.

Practice Location
Address: 1095 Twilight Dr, Morris, IL 60450
Phone: (815) 942-5108

Business Location
Address: 1095 Twilight Dr, Morris, IL 60450
Phone: (815) 942-5108
Fax: (815) 942-6877

Taxonomy

Taxonomy Code: 314000000X

License Number: 1740480

License Number of State: IL

Primary Taxonomy Switch: Y

Enumeration Date: 7/16/2006

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