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Contact Information

BELOVED COMMUNITY FAMILY WELLNESS CTR
6821 S HALSTED ST
CHICAGO, IL60621-1833
 Phone: 773-651-3629
 Fax: 773-322-1599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietetic Technician, Registered

136A00000X
Indicates primary specialty

NPI Profile & details for BELOVED COMMUNITY FAMILY WELLNESS CTR

NPI # 1891123832
LBN Legal business name BELOVED COMMUNITY FAMILY WELLNESS CTR
Authorized official ASSENATH NAAMAN - (DIETICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2013
Last updated 10/30/2013 - About 13 years ago
Identifiers
IL License # 86034476
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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