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Organization
SOUTHLAND CARE COORDINATION PARTNERS, INC.
Active
Organization
SOUTHLAND CARE COORDINATION PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN ASSAM PHAMD (TREASURER)
(708) 567-2053
Entity
Organization
Contact information
Practice address
600 HOLIDAY PLAZA DR, MATTESON, IL 60443-2241
(708) 996-4002
(708) 898-0142
Mailing address
600 HOLIDAY PLAZA DR, MATTESON, IL 60443-2241
(708) 996-4002
(708) 898-0142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
347E00000X
Transportation Broker
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
05/12/2021
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