Organization
NEW BIRTH CHRISTIAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBBIE WILKERSON PASTOR (PRES)
(773) 261-7404
Entity
Organization
Contact information
Practice address
5335 LEMOYNE ST, CHICAGO, IL 60651-1326
(773) 261-7404
(773) 751-2250
Mailing address
5335 W LEMOYNE, CHICAGO, IL 60651-1326
(773) 261-7404
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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