Organization
COMMUNITY NUTRITION NETWORK AND SENIOR SERVICES ASSOC COOK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MCLONE COOPER (CHIEF EXECUTIVE OFFICER)
(312) 207-5290
Entity
Organization
Contact information
Practice address
3239 GROVE AVE, SUITE 202, BERWYN, IL 60402-3468
(312) 207-5290
(312) 441-0641
Mailing address
3239 GROVE AVE, SUITE 202, BERWYN, IL 60402-3468
(312) 207-5290
(312) 441-0641
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
10/24/2014
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