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934 Judson Ave Apt 2w Evanston IL 60202-1864 | |
| (773) 606-6988 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 934 Judson Ave Apt 2w, Evanston, Illinois |
| Authorized Official Name and Position | Kendra Michelle Boyd (CEO) |
| Authorized Official Contact | 7736066988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
934 Judson Ave Apt 2w Evanston IL 60202-1864 Ph: (773) 606-6988 | 934 Judson Ave Apt 2w Evanston IL 60202-1864 Ph: (773) 606-6988 |
| NPI Number | 1699516310 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699516310 | NPI | - | NPPES |
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