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Managed Care Organizations at Lowell Ave, Chicago, IL

License number
Illinois 149.015412
Category
Managed Care Organizations
Type
Health Maintenance Organization
License number
Illinois 149.015412
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: ELSA MONTOTO VEGA
Title: LCSW
Phone: (773) 550-3143
Address
Address
2318 N Lowell Ave, Chicago, IL 60639
National Provider ID: 1699182642
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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