Organization
YOUNG MEN'S CHRISTIAN ASSOCIATION OF BERWYN-CICERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KUCERA (EXECUTIVE DIRECTOR/CEO)
(708) 749-0606
Entity
Organization
Contact information
Practice address
2947 OAK PARK AVE, BERWYN, IL 60402-3048
(708) 749-0606
(708) 749-7793
Mailing address
2947 OAK PARK AVE, BERWYN, IL 60402-3048
(708) 749-0606
(708) 749-7793
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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