Organization
THE GOODSHEPHERD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBILOLA F BISIRIYU (PRESIDENT)
(773) 220-8384
Entity
Organization
Contact information
Practice address
2133 W MORSE AVE, SUITE 2, CHICAGO, IL 60645-4914
(773) 220-8384
Mailing address
2133 W MORSE AVE, SUITE 2, CHICAGO, IL 60645-4914
(773) 220-8384
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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