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Organization

MILES OF CARE INFUSION & WELLNESS DIVISON

Active
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Organization

MILES OF CARE INFUSION & WELLNESS DIVISON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMISHIA LITTLE NURSE (AUTHORIZED REP)
(773) 960-1202
Entity
Organization

Contact information

Practice address
10408 S WESTERN AVE STE A, CHICAGO, IL 60643-2508
(773) 960-1202
(708) 933-3459
Mailing address
PO BOX 19111, CHICAGO, IL 60619-0002
(773) 960-1202
(708) 933-3459

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
261Q00000X
Clinic/Center
261QI0500X
Infusion Therapy Clinic/Center
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
05/07/2025
Last updated
05/07/2025
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