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Organization
VISITING CARE PROVIDERS LLC
Active
Organization
VISITING CARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADRA ALJAZI NP (OWNER/NP)
(312) 610-2875
Entity
Organization
Contact information
Practice address
3505 N PONTIAC AVE, CHICAGO, IL 60634-2849
(312) 610-2875
Mailing address
3505 N PONTIAC AVE, CHICAGO, IL 60634-2849
(312) 610-2875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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