Organization
KUJI HEALTH CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA ROLLS CPC (PROJECT MANAGER)
(630) 384-1254
Entity
Organization
Contact information
Practice address
7906 S CRANDON AVE, SUITE 1, CHICAGO, IL 60617-1146
(773) 768-5707
Mailing address
7906 S CRANDON AVE, SUITE 1, CHICAGO, IL 60617-1146
(773) 768-5707
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
36117052
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01637572
BCBS
IL
05
—
036117052
—
IL
01
—
216403
MEDICARE GROUP NUMBER
IL
Enumeration date
04/29/2008
Last updated
05/08/2008
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