Organization
RESTORATION WORLD OUTREACH 1 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIWANNA MARIE PHILLIPS (PRESIDENT)
(773) 710-4129
Entity
Organization
Contact information
Practice address
1211 SOUTH WESTERN AVE, LL101, CHICAGO, IL 60608-1151
(773) 710-4129
Mailing address
1211 S WESTERN AVE, LL101, CHICAGO, IL 60608-1151
(773) 710-4129
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/13/2009
Last updated
04/06/2009
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