Organization
SOJOURN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PATTERSON LAC (OWNER)
(312) 351-0311
Entity
Organization
Contact information
Practice address
5347 N CLARK ST, #2, CHICAGO, IL 60640-2121
(312) 351-0311
Mailing address
5215 N PAULINA ST, CHICAGO, IL 60640-2017
(312) 351-0311
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
198.001026
IL
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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