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Organization

ILLIANA HOME PHYSICIAN SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES EDWARD BECKETT (MD)
(708) 341-6707
Entity
Organization

Contact information

Practice address
2100 SIBLEY BLVD, CALUMET CITY, IL 60409-2153
(708) 933-0872
Mailing address
2100 SIBLEY BLVD, CALUMET CITY, IL 60409-2153
(708) 933-0872

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/19/2019
Last updated
02/19/2019
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