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1164640611
BENNU HEALTH SERVICE
CHICAGO, IL
NPI
1164640611
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Entity Type
Organization
Authorized Contact
KIMBERLY GRAY-WHITE
President
773-354-7572
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: IL 036106823)
Enumeration Date
2007-04-22
Last Update Date
2020-08-22
Business Address
BENNU HEALTH SERVICE
2617 W 71ST ST
CHICAGO, IL 60629-2003
Phone number: 773-354-7572
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Mailing Address
BENNU HEALTH SERVICE
1125A E HYDE PARK BLVD
CHICAGO, IL 60615-2809
Phone number: 773-354-7572
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