Organization
CHAMPION MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHIMIELKA CHAMPION (PRESIDENT)
(773) 826-9251
Entity
Organization
Contact information
Practice address
2101 N LARAMIE AVE, CHICAGO, IL 60639-3125
(773) 826-9251
Mailing address
2101 N LARAMIE AVE, CHICAGO, IL 60639-3125
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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