Organization
LITTLE VILLAGE WOMENS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA LETRECE THOMAS MD (DIRECTOR)
(773) 277-2227
Entity
Organization
Contact information
Practice address
4230 W 26TH ST, CHICAGO, IL 60623-4316
(773) 277-2227
(773) 522-5613
Mailing address
4230 W 26TH ST, CHICAGO, IL 60623-4316
(773) 277-2227
(773) 522-5613
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036093278
IL
261QH0100X
Health Service Clinic/Center
036093278
IL
Other
Enumeration date
07/17/2009
Last updated
11/17/2010
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