Organization
THE BREAKERS AT EDGEWATER BEACH
Active
Organization
THE BREAKERS AT EDGEWATER BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE DUPOR (DIRECTOR OF SALES AND MARKETING)
(773) 878-6136
Entity
Organization
Contact information
Practice address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
(773) 878-5333
Mailing address
5333 N SHERIDAN RD, CHICAGO, IL 60640-7371
(773) 878-5333
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
36381847
IL
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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