COMPREHENSIVE HEALTH AGENCY NURTURING GUEST ENERVATION
Osteopathic Medicine at Halsted St, Dixmoor, IL

License number
Illinois 071.006944
Category
Social Work
Type
Clinical
License number
Illinois 041.106435
Category
Nursing
Type
Registered Nurse
License number
Illinois 036.109938
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: KIMBERLY KENNER WASH
Title: DIRECTOR
Phone: (708) 331-2679
Address
Address
14719 Halsted St, Dixmoor, IL 60426
National Provider ID: 1174779771
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COMPREHENSIVE HEALTH AGENCY NURTURING GUEST ENERVATION, INC

Harvey, IL 60426

Status:
Inactive
Registration:
Jan 24, 2008
State ID:
66383814
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Kimberly Wash,14719 Halsted St, Harvey, IL 60426 (Physical)

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