BLUE DIAMOND HEALTH CARE LLC

CHICAGO, IL
NPI1053543520
Entity TypeOrganization
Authorized ContactJAMES L VACRACOS
Business Representative
773-292-9660
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2009-08-18
Last Update Date2009-08-18
Business Address
BLUE DIAMOND HEALTH CARE LLC
2749 W NORTH AVE
CHICAGO, IL 60647-5246
Phone number: 773-292-9660
Mailing Address
BLUE DIAMOND HEALTH CARE LLC
8606 DELAWARE ST
HIGHLAND, IN 46322-1776
Phone number: 219-765-3431