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Individual

MR. HENRY PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9453 S ASHLAND AVE STE 9, CHICAGO, IL 60620-5105
(773) 366-3492
Mailing address
9453 S ASHLAND AVE STE 9, CHICAGO, IL 60620-5105
(773) 366-3492

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3002018
IL

Other

Enumeration date
01/05/2022
Last updated
03/04/2024
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