Organization
SWEDISH COVENANT MANAGEMENT SERVICES, INC.
Active
Other names
COMPREHENSIVE WELLNESS CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KRUGEL (SENIOR VICE PRESIDENT,OPERATION/CFO)
(773) 878-8200
Entity
Organization
Contact information
Practice address
2825 N HALSTED ST, 1ST FLOOR, CHICAGO, IL 60657-5105
(773) 549-8900
(773) 549-8511
Mailing address
5019 N MOZART ST, ATTN: SOULTANA AMAXOPOULOS, CHICAGO, IL 60625-3615
(773) 293-3223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036117858
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036-086740
IL
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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