Provider Demographics
NPI:1750492278
Name:CLINICAL ASSOCIATES, S.C.
Entity Type:Organization
Organization Name:CLINICAL ASSOCIATES, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAGORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-813-0700
Mailing Address - Street 1:1460 MARKET ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4643
Mailing Address - Country:US
Mailing Address - Phone:847-813-0700
Mailing Address - Fax:847-813-0795
Practice Address - Street 1:1460 MARKET ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4643
Practice Address - Country:US
Practice Address - Phone:847-813-0700
Practice Address - Fax:847-813-0795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty