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Organization

HOL HEALTH STUDIO LLC

Active
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Organization

HOL HEALTH STUDIO LLC

Active
Other names
Hol Health Studio
Organization subpart
No

Provider details

NPI number
Authorized official
PENG PHETCHAMPHONE DC (PROVIDER)
(312) 344-1632
Entity
Organization

Contact information

Practice address
1157 W 18TH ST, CHICAGO, IL 60608-2387
(630) 242-0743
Mailing address
1157 W 18TH ST, CHICAGO, IL 60608-2387
(312) 344-1632

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
038010281
IL

Other

Enumeration date
06/12/2018
Last updated
02/08/2019
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