Organization
EXCELL AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE RENEE COLEMAN APRN (OWNER/OPERATOR)
(773) 412-4108
Entity
Organization
Contact information
Practice address
11108 S BELL AVE, APT 2S, CHICAGO, IL 60643
(773) 913-4300
Mailing address
11108 S BELL AVE, APT 2S, CHICAGO, IL 60643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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