New Hope Community Sevice

NPI 1063642841 - Clinic/Center - 261QC1500X

NPI Details
NPI 1063642841
Enumeration Date 07/15/2009
Last Updated 07/15/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BRENDA J BRENDA
Position EXECUTIVE DIRECTOR
Phone (773) 737-9555
Fax
Practice Location
2559 W 79TH ST
CHICAGO IL, 60652-1751, US
Phone (773) 737-9555
Fax
Business Location
2559 W 79TH ST
CHICAGO IL, 60652-1751, US
Phone (773) 737-9555
Fax
Toxanomy
Taxonomy Code 261QC1500X
License State Illinois
License Number 36383128
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According to our database, New Hope Community Sevice NPI is 1063642841, taxonomy code is 261QC1500X and license number is 36383128, license state is located at Illinois. New Hope Community Sevice physically located at 2559 W 79th St, Chicago IL, 60652-1751. NPI Number 1033115704 has the healthcare provider type.

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1063642841 NPI number is provided on an as is basis without warranty of any kind. 1063642841 is maintained by the National Plan & Provider Enumeration System. The contents of New Hope Community Sevice are for informational purposes only.