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ARTEMIS FOR WOMEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY RENEE ROUSE-HO MD (PHYSICIAN)
(818) 378-1783
Entity
Organization

Contact information

Practice address
615 WOODBINE AVE, OAK PARK, IL 60302-1607
(708) 665-3155
Mailing address
615 WOODBINE AVE, OAK PARK, IL 60302-1607
(708) 665-3155

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
99075594A
IN

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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