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Organization
SWEDISH COVENANT MANAGEMENT SERVICES, INC.
Active
Organization
SWEDISH COVENANT MANAGEMENT SERVICES, INC.
Active
Other names
COMPREHENSIVE WELLNESS CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KRUGEL (SENIOR VICE PRESIDENT,OPERATION/CFO)
(773) 878-8200
Entity
Organization
Contact information
Practice address
2825 N HALSTED ST, 1ST FLOOR, CHICAGO, IL 60657-5105
(773) 549-8900
(773) 549-8511
Mailing address
5019 N MOZART ST, ATTN: SOULTANA AMAXOPOULOS, CHICAGO, IL 60625-3615
(773) 293-3223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036117858
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036-086740
IL
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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