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Organization

COMMUNITY DEVELOPMENT ENTERPRISES, INC

Active
Parent organization
HEALTH ELEMENTS
Other names
Health Elements
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEALTH ELEMENTS
Authorized official
DR. PATRICIA WASHINGTON DAOM (CEO)
(312) 842-1229
Entity
Organization

Contact information

Practice address
4740 183RD ST, COUNTRY CLUB HILLS, IL 60478-5212
(708) 769-2214
Mailing address
79 E 16TH ST, CHICAGO, IL 60616-5520
(312) 842-1229

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4089-1003
IL

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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