| Imagine Healthcare Llc | |
|
708 W Grand Ave Chicago IL 60654 | |
| (312) 300-2190 | |
| Not Available |
| Full Name | Imagine Healthcare Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 708 W Grand Ave, Chicago, Illinois |
| Authorized Official Name and Position | Rachel Norris (OWNER) |
| Authorized Official Contact | 4126066810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Healthcare Llc 531 S Plymouth Ct Apt 204 Chicago IL 60605-1527 Ph: (412) 606-6810 | Imagine Healthcare Llc 708 W Grand Ave Chicago IL 60654 Ph: (312) 300-2190 |
| NPI Number | 1124643234 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124643234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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