Lotus Center | |
1200 N Ashland Ave Ste 400 Chicago IL 60622-2259 | |
(773) 850-2295 | |
Not Available |
Full Name | Lotus Center |
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Speciality | Counselor - Professional |
Location | 1200 N Ashland Ave, Chicago, Illinois |
Authorized Official Name and Position | Heather Shannon (OWNER) |
Authorized Official Contact | 7738502295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lotus Center 1200 N Ashland Ave Ste 401 Chicago IL 60622-2259 Ph: (773) 850-2295 | Lotus Center 1200 N Ashland Ave Ste 400 Chicago IL 60622-2259 Ph: (773) 850-2295 |
NPI Number | 1194031971 |
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Provider Enumeration Date | 08/31/2010 |
Last Update Date | 11/02/2016 |
Identifier | Type | State | Issuer |
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1194031971 | NPI | - | NPPES |
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