Organization
MOBILE HEALTH TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORY OKORIE (EXECUTIVE DIRECTOR)
(614) 419-7820
Entity
Organization
Contact information
Practice address
6257 MCCORMICK BLVD, STE 134, CHICAGO, IL 60659-7463
(773) 234-1698
Mailing address
6257 W. MCCORMICK BLVD, SUITE 134, CHICAGO, IL 60659
(773) 234-1698
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
041404508
IL
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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