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Organization

NORTHRIVER MHC

Active
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Organization

NORTHRIVER MHC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEL DAVID (DIRECTOR)
(312) 744-1906
Entity
Organization

Contact information

Practice address
5801 N PULASKI RD, CHICAGO, IL 60646-6007
(312) 744-1906
Mailing address
5801 N PULASKI RD, CHICAGO, IL 60646-6007

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
390200000X
IL

Other

Enumeration date
08/17/2011
Last updated
08/17/2011
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