| Jeremiah Community Outreach Services, Inc | |
|
935 175th St Suite 302 Homewood IL 60430-2049 | |
| (708) 914-4248 | |
| (708) 991-2975 |
| Full Name | Jeremiah Community Outreach Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 935 175th St, Homewood, Illinois |
| Authorized Official Name and Position | Shirley Ann Golladay (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7089144248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Community Outreach Services, Inc 935 175th St Suite 302 Homewood IL 60430-2049 Ph: (708) 914-4248 | Jeremiah Community Outreach Services, Inc 935 175th St Suite 302 Homewood IL 60430-2049 Ph: (708) 914-4248 |
| NPI Number | 1255744371 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255744371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A52410001A (Illinois) | Primary |
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