Organization
BREATH OF LIFE ASTHMA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARNELL INGRAM C.R.T.T. (C.E.O. / RESPIRATORY THERAPIST)
(312) 709-4898
Entity
Organization
Contact information
Practice address
17331 WOODED PATH DR, EAST HAZEL CREST, IL 60429-1961
(312) 709-4898
Mailing address
17331 WOODED PATH DR APT 1S, EAST HAZEL CREST, IL 60429-2620
(312) 709-4898
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2015
Last updated
11/22/2015
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