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Organization
SOUTH SIDE REJUVENATION LLC
Active
Organization
SOUTH SIDE REJUVENATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA BELCHER APRN (FAMILY NURSE PRACTITIONER)
(708) 670-2576
Entity
Organization
Contact information
Practice address
17749 65TH AVE, TINLEY PARK, IL 60477-4370
(708) 670-2576
Mailing address
17749 65TH AVE, TINLEY PARK, IL 60477-4370
(708) 670-2576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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