Ocie Booker Health And Wellness Center Of Chicago | |
10558 S Michigan Ave Chicago IL 60628-2706 | |
(773) 704-2370 | |
Not Available |
Full Name | Ocie Booker Health And Wellness Center Of Chicago |
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Speciality | Clinic/center |
Location | 10558 S Michigan Ave, Chicago, Illinois |
Authorized Official Name and Position | Jeffrey Hodges (EXECUTIVE BOARD MEMBER) |
Authorized Official Contact | 7737042370 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ocie Booker Health And Wellness Center Of Chicago 1163 E 159th Pl South Holland IL 60473-1711 Ph: () - | Ocie Booker Health And Wellness Center Of Chicago 10558 S Michigan Ave Chicago IL 60628-2706 Ph: (773) 704-2370 |
NPI Number | 1396278883 |
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Provider Enumeration Date | 04/11/2017 |
Last Update Date | 04/11/2017 |
Identifier | Type | State | Issuer |
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1396278883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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