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Organization
TYRAFRANKLIN FRANKLIN ACCOUNT
Active
Organization
TYRAFRANKLIN FRANKLIN ACCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRA FRANKLIN APN-BC (APN)
(708) 774-6255
Entity
Organization
Contact information
Practice address
2357 W CONGRESS PKWY, UNIT 3, CHICAGO, IL 60612-3685
(312) 590-1601
(312) 224-0023
Mailing address
513 WALLACE ST, CHICAGO HEIGHTS, IL 60411-1234
(708) 774-6255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
209.013093
IL
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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