Organization
ROCKIN THE SPECTRUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JOYCE LYNN (VICE PRESIDENT)
(224) 538-9736
Entity
Organization
Contact information
Practice address
425 LAKE ST, ANTIOCH, IL 60002-1464
(244) 538-9736
Mailing address
41966 N PAULINE ST, ANTIOCH, IL 60002-8226
(244) 538-9736
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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