| Prohealth Prevention Llc | |
|
1943 S May St 1f Chicago IL 60608-3359 | |
| (312) 549-8866 | |
| (312) 549-8861 |
| Full Name | Prohealth Prevention Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1943 S May St, Chicago, Illinois |
| Authorized Official Name and Position | Julia Nicolini (PRESIDENT/CEO) |
| Authorized Official Contact | 5749937992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Prevention Llc 1943 S May St 1f Chicago IL 60608-3359 Ph: (312) 549-8866 | Prohealth Prevention Llc 1943 S May St 1f Chicago IL 60608-3359 Ph: (312) 549-8866 |
| NPI Number | 1518323195 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518323195 | NPI | - | NPPES |
| 203002034 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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