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Jimi Orange III
Respite Care in La Grange Park, Illinois
NPI 1922488451

Jimi Orange III is a Respite Care based in Chicago, IL. Jimi Orange III practices in La Grange Park, IL. The NPI Number for Jimi Orange III is 1922488451 and holds a License No. (Illinois).

The current practice location address for Jimi Orange III is 333 N La Grange Rd, La Grange Park, IL and can be reached out via phone at 708-745-5277.

Location: 333 N La Grange Rd, La Grange Park, IL, 60653-4795
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922488451
Provider Name
Jimi Orange III
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 N La Grange Rd, La Grange Park, IL, 60653-4795
Phone Number
708-745-5277
Fax Number
Provider Enumeration Date
05/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
333 N La Grange Rd
City
La Grange Park
State
Illinois
Zip
60526-5646
Phone Number
708-745-5277
Fax Number
person
Provider Business Mailing Address Details
Address
333 N La Grange Rd
City
La Grange Park
State
Illinois
Zip
60526-5646
Phone Number
708-745-5277
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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