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Organization
GREENVIEW HEALTH CENTER CHARTERED
Active
Organization
GREENVIEW HEALTH CENTER CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO ADALBERTO OJEA MD (OWNER)
(773) 334-9056
Entity
Organization
Contact information
Practice address
5025 N PAULINA AVE, STE 101, CHICAGO, IL 60640-2772
(773) 334-9056
(773) 334-9009
Mailing address
PO BOX 57120, CHICAGO, IL 60657-0120
(773) 334-9056
(773) 334-9009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036061009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003160120
BCBC
IL
01
—
010012601
MED RR
IL
05
—
036061009
—
IL
Enumeration date
08/04/2006
Last updated
08/14/2013
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