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Organization

AUNT MARTHA'S HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA MARIA DORSEY M.D. (PHYSICIAN)
(708) 756-1135
Entity
Organization

Contact information

Practice address
1536 VINCENNES AVE, CHICAGO HEIGHTS, IL 60411-3458
(708) 756-1135
(708) 754-2051
Mailing address
1442 E 63RD ST, CHICAGO, IL 60637-2948
(773) 288-6680
(708) 754-2051

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
IL

Other

Enumeration date
03/21/2007
Last updated
08/22/2020
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