Aunt Martha's Health Care

NPI 1013032523 - Clinic/Center - 261Q00000X

NPI Details
NPI 1013032523
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA MARIA LISA
Position PHYSICIAN
Phone (708) 756-1135
Fax (708) 754-2051
Practice Location
1536 VINCENNES AVE
CHICAGO HEIGHTS IL, 60411-3458, US
Phone (708) 756-1135
Fax (708) 754-2051
Business Location
1442 E 63RD ST
CHICAGO IL, 60637-2948, US
Phone (773) 288-6680
Fax (708) 754-2051
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1013032523 NPI Number
 

According to our database, Aunt Martha's Health Care NPI is 1013032523, taxonomy code is 261Q00000X Aunt Martha's Health Care physically located at 1536 Vincennes Ave, Chicago Heights IL, 60411-3458. NPI Number 1033115704 has the healthcare provider type.

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1013032523 NPI number is provided on an as is basis without warranty of any kind. 1013032523 is maintained by the National Plan & Provider Enumeration System. The contents of Aunt Martha's Health Care are for informational purposes only.