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Organization
JUBILEE HEALTH INC
Active
Organization
JUBILEE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDI TINWALLA (MD)
(630) 379-8183
Entity
Organization
Contact information
Practice address
1016 VICTORIA LN, GLENDALE HEIGHTS, IL 60139-4508
(630) 379-8183
Mailing address
1016 VICTORIA LN, GLENDALE HEIGHTS, IL 60139-4508
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
036109969
IL
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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