Organization
GREENBAX HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C VACHON MD (CHIEF MEDICAL OFFICER)
(312) 285-7678
Entity
Organization
Contact information
Practice address
4922 W CHICAGO AVE, CHICAGO, IL 60651-3142
(312) 285-7678
Mailing address
4922 W CHICAGO AVE, CHICAGO, IL 60651-3142
(773) 417-3784
(773) 417-3784
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
09/23/2020
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