institution
Mamanatandathernizampc.
Community Health Clinic/Center in Chicago, Illinois
NPI 1104134915

Mamanatandathernizampc. is a Community Health Clinic/Center based in Burr Ridge, IL and is specialized in Community Health. Mamanatandathernizampc. practices in Chicago, IL. The NPI Number for Mamanatandathernizampc. is 1104134915 and holds a License No. 036-06-9635 (Illinois).

The current practice location address for Mamanatandathernizampc. is 2001 W.69Thst., Chicago, IL and can be reached out via phone at 773-778-2355 and via fax at 773-788-2355.

Location: 2001 W.69Thst., Chicago, IL, 60527-6347
institution
Provider Profile Details
NPI Number
1104134915
Provider Name
Mamanatandathernizampc.
Credential
Provider Entity Type
Organization
Address
2001 W.69Thst., Chicago, IL, 60527-6347
Phone Number
773-778-2355
Fax Number
773-788-2355
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 W.69Thst.
City
State
Zip
60636
Phone Number
773-778-2355
Fax Number
773-788-2355
person
Provider Business Mailing Address Details
Address
2001 W.69Thst.
City
State
Zip
60636
Phone Number
773-778-2355
Fax Number
773-788-2355
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
036-06-9635 (Illinois)
Definition
Definition to come...
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