Organization
PROGRESSIVE HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSARENREN IDEMUDIA MD (OWNER)
(630) 635-7252
Entity
Organization
Contact information
Practice address
8301 STATE LINE RD STE 220, KANSAS CITY, MO 64114-2025
(630) 635-7252
Mailing address
8301 STATE LINE RD STE 220, KANSAS CITY, MO 64114-2025
(630) 635-7252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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