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Organization
CORALIS HEALTH, LLC
Active
Organization
CORALIS HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA ROBLES MD (CHIEF MEDICAL OFFICER)
(980) 890-8668
Entity
Organization
Contact information
Practice address
4 WALKER AVE STE B, CLARENDON HILLS, IL 60514-1351
(708) 722-6218
Mailing address
47 W DIVISION ST STE 360, CHICAGO, IL 60610-2419
(708) 722-6061
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/27/2023
Last updated
11/13/2024
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