Organization
DOCS AT THE DOOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJIBOLA A AYENI MD (EXEC DIRECTOR)
(708) 362-3820
Entity
Organization
Contact information
Practice address
4747 LINCOLN MALL DR, SUITE 304, MATTESON, IL 60443-3811
(708) 332-9887
(708) 503-0737
Mailing address
4747 LINCOLN MALL DR, SUITE 304, MATTESON, IL 60443-3811
(708) 332-9887
(708) 503-0737
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
036077698
IL
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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