Organization
ILLINOIS HEALTH PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSLYNE CARSON (MANAGER)
(312) 545-6611
Entity
Organization
Contact information
Practice address
4460 S BERKELEY AVE, CHICAGO, IL 60653-3610
(312) 545-6611
Mailing address
4460 S BERKELEY AVE, CHICAGO, IL 60653-3610
(312) 545-6611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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