Organization
MOTHER DEAREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AKIA L MCGEE (CEO)
(708) 986-7783
Entity
Organization
Contact information
Practice address
14214 WOODLAWN AVE, DOLTON, IL 60419-1316
(708) 986-7783
Mailing address
14214 WOODLAWN AVE, DOLTON, IL 60419-1316
(708) 986-7783
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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