Organization
KIDSX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA GARLAND (DIRECTOR)
(708) 925-7672
Entity
Organization
Contact information
Practice address
6606 W NORTH AVE, CHICAGO, IL 60707-3906
(708) 965-0667
Mailing address
6606 W NORTH AVE, CHICAGO, IL 60707-3906
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
01/03/2022
Last updated
01/13/2022
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