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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