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Individual

JEREMIAH RINGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2930 S. MICHGAN AVE, SUITE 100, CHICAGO, IL 60616-3484
(773) 819-5504
Mailing address
771 DOUBLE JACK ST, BOURBONNAIS, IL 60914-9632

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/15/2022
Last updated
07/15/2022
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