Individual
MR. VINCE JUDE EHRENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FOUNDER PERICHAIR LL
Contact information
Practice address
5536 N VIRGINIA AVE, CHICAGO, IL 60625-3918
(773) 849-3886
Mailing address
5536 N VIRGINIA AVE, CHICAGO, IL 60625-3918
(773) 849-3886
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
352671922
IL
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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