Organization
INTEGRAL HEALTH AND COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADIMEJI KASSIM (OWNER)
(773) 317-1612
Entity
Organization
Contact information
Practice address
9730 S WESTERN AVE, EVERGREEN PARK, IL 60805-2814
(773) 317-1612
Mailing address
15618 NEW ENGLAND AVE, OAK FOREST, IL 60452-1591
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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