Individual
KURT HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
1340 W NEWPORT AVE, CHICAGO, IL 60657-1412
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
056.011312
IL
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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