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1093126435
RAVENSWOOD HEALTH AND WELLNESS CENTER, S.C.
CHICAGO, IL
NPI
1093126435
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Entity Type
Organization
Authorized Contact
JASON GRIFFITH FENNEMA
President
773-456-5313
Organization Subpart ?
No
Primary Taxonomy
111NR0400X
(Licence: IL 1386657690)
Enumeration Date
2014-05-19
Last Update Date
2014-12-30
Business Address
RAVENSWOOD HEALTH AND WELLNESS CENTER, S.C.
4256 N RAVENSWOOD AVE UNIT 101
CHICAGO, IL 60613-1110
Phone number: 773-327-2225
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Mailing Address
RAVENSWOOD HEALTH AND WELLNESS CENTER, S.C.
4256 N RAVENSWOOD AVE UNIT 101
CHICAGO, IL 60613-1110
Phone number: 773-327-2225
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