| Project Vida, Inc. | |
|
2659 S Kedvale Ave Chicago IL 60623-4322 | |
| (773) 277-2291 | |
| Not Available |
| Full Name | Project Vida, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2659 S Kedvale Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jerome Montgomery (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7732772291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Vida, Inc. 2659 S Kedvale Ave Chicago IL 60623-4322 Ph: (773) 277-2291 | Project Vida, Inc. 2659 S Kedvale Ave Chicago IL 60623-4322 Ph: (773) 277-2291 |
| NPI Number | 1285167577 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285167577 | NPI | - | NPPES |
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