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Organization
THRIVE HEALTH IV CLINIC, P.C.
Active
Organization
THRIVE HEALTH IV CLINIC, P.C.
Active
Parent organization
THRIVE HEALTH IV CLINIC P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THRIVE HEALTH IV CLINIC P.C.
Authorized official
DR. RAYMOND DOUGLAS MD (PRESIDENT)
(310) 363-8757
Entity
Organization
Contact information
Practice address
2001 N HALSTED ST STE 200, CHICAGO, IL 60614-4365
(310) 363-8757
(310) 363-8758
Mailing address
9675 BRIGHTON WAY STE 410, BEVERLY HILLS, CA 90210-5192
(310) 363-8757
(310) 363-8758
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/09/2023
Last updated
05/11/2023
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