Organization
LIFE ENHANCEMENT HEALTH CARE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYISHA D BEEMON RN (LAB DIRECTOR)
(312) 538-9702
Entity
Organization
Contact information
Practice address
124 W 69TH ST, CHICAGO, IL 60621-3746
(312) 538-9702
Mailing address
124 W 69TH ST, CHICAGO, IL 60621-3746
(312) 538-9702
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
04/08/2021
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