Clear Ridge Wellness Center Ltd.

NPI 1174803878 - Clinic/Center - 261QP2300X

NPI Details
NPI 1174803878
Enumeration Date 08/25/2011
Last Updated 02/13/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARGARET KAY MARGARET
Position FAMILY NURSE PRACTITIONER
Phone (773) 229-8545
Fax (773) 229-8545
Practice Location
6745 W 63RD ST
CHICAGO IL, 60638-4003, US
Phone (773) 229-8545
Fax (773) 229-8545
Business Location
6745 W 63RD ST
CHICAGO IL, 60638-4003, US
Phone (773) 229-8545
Fax (773) 229-8545
Toxanomy
Taxonomy Code 261QP2300X
License State Illinois
License Number 041.283154
Remove 1174803878 NPI Number
 

According to our database, Clear Ridge Wellness Center Ltd. NPI is 1174803878, taxonomy code is 261QP2300X and license number is 041.283154, license state is located at Illinois. Clear Ridge Wellness Center Ltd. physically located at 6745 W 63rd St, Chicago IL, 60638-4003. NPI Number 1033115704 has the healthcare provider type.

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1174803878 NPI number is provided on an as is basis without warranty of any kind. 1174803878 is maintained by the National Plan & Provider Enumeration System. The contents of Clear Ridge Wellness Center Ltd. are for informational purposes only.