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Organization
OCIE BOOKER HEALTH AND WELLNESS CENTER OF CHICAGO
Active
Organization
OCIE BOOKER HEALTH AND WELLNESS CENTER OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY HODGES (EXECUTIVE BOARD MEMBER)
(773) 704-2370
Entity
Organization
Contact information
Practice address
10558 S MICHIGAN AVE, CHICAGO, IL 60628-2706
(773) 704-2370
Mailing address
1163 E 159TH PL, SOUTH HOLLAND, IL 60473-1711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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