Sovereign Healthcare

NPI Provider: 1174529614
Contact Name: lubowsky david
Position: bookkeeper
Phone: (847) 679-7484

Sovereign Healthcare Information:

Sovereign Healthcare organization have npi 1174529614, taxonomy code is 313M00000X with license number is 14496R in . This Business address located in 6500 n hamlin, lincolnwood, IL 60712 Illinois.

Practice Location
Address: 6159 N Kenmore Ave, Chicago, IL 60660
Phone: (773) 761-9050

Business Location
Address: 6500 n hamlin, lincolnwood, IL 60712
Phone: (847) 679-7484
Fax: (847) 679-7494

Taxonomy

Taxonomy Code: 313M00000X

License Number: 14496R

License Number of State: IL

Primary Taxonomy Switch: Y

Enumeration Date: 6/21/2005

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