Organization
E & R SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RADISHA L. WALKER (PRESIDENT)
(773) 552-3021
Entity
Organization
Contact information
Practice address
276 PRAIRIE AVE, CALUMET CITY, IL 60409-1747
(708) 832-9915
Mailing address
276 PRAIRIE AVE, CALUMET CITY, IL 60409-1747
(708) 832-9915
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07013891
BIRTHDATE
IL
Enumeration date
03/01/2010
Last updated
03/01/2010
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