Saving Lives Inc. | |
2907 S Wabash Ave Ste 103 Chicago IL 60616-3271 | |
(312) 202-0419 | |
(773) 417-0441 |
Full Name | Saving Lives Inc. |
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Speciality | Clinic/Center |
Location | 2907 S Wabash Ave Ste 103, Chicago, Illinois |
Authorized Official Name and Position | Lathea Smyles (CEO) |
Authorized Official Contact | 7084737842 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saving Lives Inc. 2907 S Wabash Ave Ste 103 Chicago IL 60616-3271 Ph: (312) 202-0419 | Saving Lives Inc. 2907 S Wabash Ave Ste 103 Chicago IL 60616-3271 Ph: (312) 202-0419 |
NPI Number | 1326447020 |
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Provider Enumeration Date | 08/19/2014 |
Last Update Date | 09/29/2021 |
Certification Date | 09/29/2021 |
Medicare PECOS PAC ID | 7618199779 |
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Medicare Enrollment ID | O20141105002510 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326447020 | NPI | - | NPPES |
Provider Name | Charles L Alexander |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1003859554 PECOS PAC ID: 0749346070 Enrollment ID: I20090311000413 |
Provider Name | Dora Dixie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225092919 PECOS PAC ID: 3678755790 Enrollment ID: I20110310000942 |
Provider Name | Patricia A Vowal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063832541 PECOS PAC ID: 1850516444 Enrollment ID: I20140716000972 |
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