Organization
ONLY BY FAITH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANE DICKENS RN (PRESIDENT)
(773) 287-7601
Entity
Organization
Contact information
Practice address
5700 W CHICAGO AVE, CHICAGO, IL 60651-2621
(773) 287-7601
Mailing address
5700 W CHICAGO AVE, CHICAGO, IL 60651-2621
(773) 287-7601
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
Primary
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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