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Organization

MILES OF CARE DIVISIONS

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
10408 S WESTERN AVE, 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
208D00000X
General Practice Physician
Primary
261QI0500X
Infusion Therapy Clinic/Center

Other

Enumeration date
05/12/2025
Last updated
05/12/2025
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