Organization
OCIE BOOKER HEALTH AND WELLNESS CENTER OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY HODGES (EXECUTIVE BOARD MEMBER)
(773) 704-2370
Entity
Organization
Contact information
Practice address
10558 S MICHIGAN AVE, CHICAGO, IL 60628-2706
(773) 704-2370
Mailing address
1163 E 159TH PL, SOUTH HOLLAND, IL 60473-1711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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