Organization
KUJI HEALTH CONCEPTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT MCKINLEY FOURTE M.D. (PHYSICIAN)
(773) 768-5707
Entity
Organization
Contact information
Practice address
7906 S CRANDON AVE, SUITE 1, CHICAGO, IL 60617-1146
(773) 768-5707
(773) 768-9210
Mailing address
7906 S CRANDON AVE, SUITE 1, CHICAGO, IL 60617-1146
(773) 768-5707
(773) 768-9210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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