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Organization
MERCY MEDICAL & WEIGHT LOSS CENTER, INC.
Active
Organization
MERCY MEDICAL & WEIGHT LOSS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOVITA ANYANWU M.D. (OWNER)
(815) 401-5757
Entity
Organization
Contact information
Practice address
187 S SCHUYLER AVE, SUITE 100, KANKAKEE, IL 60901-3831
(815) 401-5757
Mailing address
187 S SCHUYLER AVE, SUITE 100, KANKAKEE, IL 60901-3831
(815) 401-5757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/27/2011
Last updated
11/27/2011
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