| Moving Up Foundation, Inc. | |
|
520 W Armory Dr South Holland IL 60473-2824 | |
| (708) 596-0410 | |
| Not Available |
| Full Name | Moving Up Foundation, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 520 W Armory Dr, South Holland, Illinois |
| Authorized Official Name and Position | Rajiv Kandala (PRESIDENT) |
| Authorized Official Contact | 7737934527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving Up Foundation, Inc. 10825 Scarlet Dr Orland Park IL 60467-4402 Ph: (773) 793-4527 | Moving Up Foundation, Inc. 520 W Armory Dr South Holland IL 60473-2824 Ph: (708) 596-0410 |
| NPI Number | 1255476206 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255476206 | NPI | - | NPPES |
| 036109208 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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