Organization
PALOS TOWNSHIP
Active
Other names
Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE B. ORR (ADMINISTRATIVE ASSISSTANT)
(708) 598-4418
Entity
Organization
Contact information
Practice address
10802 S ROBERTS RD, PALOS HILLS, IL 60465-2382
(708) 598-4418
Mailing address
10802 S ROBERTS RD, PALOS HILLS, IL 60465-2382
(708) 598-4418
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209645
MASS ROSTER BILLING
IL
Enumeration date
08/14/2008
Last updated
08/14/2008
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