1915-25 95TH ST., LLC

CHICAGO, IL
NPI1447784921
Entity TypeOrganization
Authorized ContactRAVISH SHAH
Office Manager
630-571-1100
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2017-04-12
Last Update Date2017-04-12
Business Address
1915-25 95TH ST., LLC
1915 E 95TH ST
CHICAGO, IL 60617
Phone number: 630-571-1100
Mailing Address
1915-25 95TH ST., LLC
1915 E 95TH STREET
CHICAGO, IL 60617
Phone number: 630-571-1100
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