Omega Community Healthcare Organization Inc.

NPI 1215107552 - General Practice - 208D00000X

NPI Details
NPI 1215107552
Enumeration Date 03/03/2008
Last Updated 03/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NELIA G NELIA
Position AGENT
Phone (773) 436-0800
Fax
Practice Location
6326 S ASHLAND AVE
CHICAGO IL, 60636-2725, US
Phone (773) 436-0800
Fax
Business Location
1717 HOWARD ST
EVANSTON IL, 60202-3735, US
Phone (847) 425-9089
Fax (847) 425-9091
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Omega Community Healthcare Organization Inc. NPI is 1215107552, taxonomy code is 208D00000X Omega Community Healthcare Organization Inc. physically located at 6326 S Ashland Ave, Chicago IL, 60636-2725. NPI Number 1033115704 has the healthcare provider type.

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1215107552 NPI number is provided on an as is basis without warranty of any kind. 1215107552 is maintained by the National Plan & Provider Enumeration System. The contents of Omega Community Healthcare Organization Inc. are for informational purposes only.