Provider Demographics
NPI:1689220352
Name:HILL CLINIC, LLC
Entity Type:Organization
Organization Name:HILL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MADUOMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-378-1422
Mailing Address - Street 1:4425 HILL AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-5410
Mailing Address - Country:US
Mailing Address - Phone:567-318-5440
Mailing Address - Fax:567-318-5472
Practice Address - Street 1:4425 HILL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-5410
Practice Address - Country:US
Practice Address - Phone:567-318-5440
Practice Address - Fax:567-318-5472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-17
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty