Organization
JEFFERSON DIABETES CONSULTANTS, L.L.C.
Active
Organization
JEFFERSON DIABETES CONSULTANTS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALECIA JEFFERSON APRN, CDCES (OWNER/ PROVIDER)
(312) 488-9392
Entity
Organization
Contact information
Practice address
9449 S KEDZIE AVE # 560, EVERGREEN PARK, IL 60805-2325
(312) 488-9392
Mailing address
9449 S KEDZIE AVE # 560, EVERGREEN PARK, IL 60805-2325
(312) 488-9392
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
02/28/2022
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