Provider Demographics
NPI:1386837128
Name:LOCKE & UCHITELLE PC
Entity Type:Organization
Organization Name:LOCKE & UCHITELLE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORAVEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-848-2304
Mailing Address - Street 1:7411 LAKE ST
Mailing Address - Street 2:STE 2210
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1876
Mailing Address - Country:US
Mailing Address - Phone:708-366-8200
Mailing Address - Fax:708-366-8938
Practice Address - Street 1:7411 LAKE ST
Practice Address - Street 2:STE 2210
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1876
Practice Address - Country:US
Practice Address - Phone:708-366-8200
Practice Address - Fax:708-366-8938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty