Organization
WHITE CRANE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN CAGAN (EXECUTIVE DIRECTOR)
(773) 271-9001
Entity
Organization
Contact information
Practice address
1657 W FOSTER AVE, CHICAGO, IL 60640-2013
(773) 271-9001
(773) 271-9231
Mailing address
1657 W FOSTER AVE, CHICAGO, IL 60640-2013
(773) 271-9001
(773) 271-9231
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
CERT IL. DEPT AGING
IL
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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