RACING INDUSTRY CHARITABLE FOUNDATION NPI 1275281792

NPI Information

  • NPI: 1275281792
  • Provider Name: RACING INDUSTRY CHARITABLE FOUNDATION
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • CLIA Number: 14D2225223
  • Address: 3701 S LARAMIE AVE
    CICERO, IL
    ZIP 60804
  • Phone: (708) 343-9375

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NPI Details

RACING INDUSTRY CHARITABLE FOUNDATION is a community health clinic center in Cicero, IL. RACING INDUSTRY CHARITABLE FOUNDATION NPI is 1275281792. The provider is registered as an organization entity type.

The provider's business location address is:

3701 S LARAMIE AVE
CICERO, IL
ZIP 60804-513
Phone: (708) 343-9375
Fax: (708) 652-3084

The provider's authorized official is Paul Coronado .
The authorized official title is Executive Director and has the following contact phone number (708) 343-9375.

The CLIA number assigned to this NPI record is 14D2225223 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/14/2022 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthYes

What is NPI?

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This page was last updated on: 11/21/2025

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