MOTHER DEAREST

DOLTON, IL
NPI1417308081
Entity TypeOrganization
Authorized ContactAKIA L MCGEE
CEO
708-986-7783
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2016-06-24
Last Update Date2016-06-24
Business Address
MOTHER DEAREST
14214 WOODLAWN AVE
DOLTON, IL 60419-1316
Phone number: 708-986-7783
Mailing Address
MOTHER DEAREST
14214 WOODLAWN AVE
DOLTON, IL 60419-1316
Phone number: 708-986-7783
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