# OCIE BOOKER HEALTH AND WELLNESS CENTER OF CHICAGO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396278883
- **Authorized official:** MR. JEFFREY HODGES (EXECUTIVE BOARD MEMBER)
- **Authorized official phone:** (773) 704-2370

## Contact information

- **Practice address:** 10558 S MICHIGAN AVE, CHICAGO, IL 60628-2706
- **Practice address phone:** (773) 704-2370
- **Mailing address:** 1163 E 159TH PL, SOUTH HOLLAND, IL 60473-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2017
- **Last updated:** 04/11/2017