Organization
CO-CARE L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE BASS-JORDAN (EXECUTIVE DIRECTOR)
(708) 351-4895
Entity
Organization
Contact information
Practice address
3701 PARTHENON WAY, OLYMPIA FIELDS, IL 60461-1325
(708) 351-4895
Mailing address
3701 PARTHENON WAY, OLYMPIA FIELDS, IL 60461-1325
(708) 351-4895
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
IL
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
06/20/2006
Last updated
06/12/2008
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