Organization
DYNAMICS OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY JONES (OWNER)
(708) 596-5405
Entity
Organization
Contact information
Practice address
14618 LINCOLN AVE, HARVEY, IL 60426-1610
(708) 596-5405
Mailing address
14618 LINCOLN AVE, HARVEY, IL 60426-1610
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
IL
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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