Contract Details
Occupational Health Centers of the Southwest, P.A., Co.
Facility name
Concentra Medical Center
Provider ID
P000002767
NPI
1790794584
Tax ID
752014828
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
Location Details
Address
211 East Army Trail
Bloomingdale, IL 60108
United States
County
DuPage
Phone
6305828946 (Phone)
Billing Details
Address
PO Box 488
Lombard, IL 60148
Billing Phone
8883782566
Specialty Type
Occupational Medicine Facility
Map
Address