Organization
COLLABORATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE O'NEILL (DIRECTOR)
(773) 576-3925
Entity
Organization
Contact information
Practice address
3725 N SOUTHPORT AVE, CHICAGO, IL 60613-3718
(773) 576-3925
Mailing address
3725 N SOUTHPORT AVE, CHICAGO, IL 60613-3718
(773) 576-3925
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000729
IL
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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