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NPI Provider: 1649276080
Contact Name: SHABAT MEHACHEM
Position: ADMINISTRATOR
Phone: (773) 478-2000
Peterson Park Health Care Center Information:
Peterson Park Health Care Center organization have npi 1649276080, taxonomy code is 314000000X with license number is 24463 in . This Business address located in 6141 N Pulaski Rd, Chicago, IL 60646 Illinois. Get directions of Peterson Park Health Care Center.
Practice Location
Address: 6141 N Pulaski Rd, Chicago, IL 60646
Phone: (773) 478-2000
Business Location
Address: 6141 N Pulaski Rd, Chicago, IL 60646
Phone: (412) 937-5949
Fax: (412) 937-5705
Taxonomy
Taxonomy Code: 314000000X
License Number: 24463
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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