Organization
MED STAFF ON-CALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE A KENT PHD, APN, RN (CEO)
(888) 270-8374
Entity
Organization
Contact information
Practice address
1332 N HALSTED ST, SUITE 301, CHICAGO, IL 60642-2624
(888) 270-8374
(888) 288-7102
Mailing address
1332 N HALSTED ST, SUITE 301, CHICAGO, IL 60642-2624
(888) 270-8374
(888) 288-7102
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2011-N1142
IL
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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