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1295296572
PHYSICIANS HEALING AT HOME LLC
CHICAGO, IL
NPI
1295296572
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Entity Type
Organization
Authorized Contact
CAMILLE STACKHOUSE
Owner
177-331-4709
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
PHYSICIANS HEALING AT HOME LLC
7011 S CREGIER AVE
CHICAGO, IL 60649-1911
Phone number: 773-314-7090
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Mailing Address
PHYSICIANS HEALING AT HOME LLC
PO BOX 490848
CHICAGO, IL 60649-0048
Phone number: 773-314-7090
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