Blue Diamond Health Care Llc

NPI 1053543520 - Family Medicine - 207Q00000X

NPI Details
NPI 1053543520
Enumeration Date 08/18/2009
Last Updated 08/18/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JAMES L JAMES
Position BUSINESS REPRESENTATIVE
Phone (773) 292-9660
Fax
Practice Location
2749 W NORTH AVE
CHICAGO IL, 60647-5246, US
Phone (773) 292-9660
Fax
Business Location
8606 DELAWARE ST
HIGHLAND IN, 46322-1776, US
Phone (219) 765-3431
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Blue Diamond Health Care Llc NPI is 1053543520, taxonomy code is 207Q00000X Blue Diamond Health Care Llc physically located at 2749 W North Ave, Chicago IL, 60647-5246. NPI Number 1033115704 has the healthcare provider type.

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1053543520 NPI number is provided on an as is basis without warranty of any kind. 1053543520 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Diamond Health Care Llc are for informational purposes only.