| Distinctively Me | |
|
33 W 155th Pl South Holland IL 60473-1202 | |
| (708) 730-2340 | |
| Not Available |
| Full Name | Distinctively Me |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33 W 155th Pl, South Holland, Illinois |
| Authorized Official Name and Position | Gloria Dotson-lewis (FOUNDER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7735041571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctively Me 33 W 155th Pl South Holland IL 60473-1202 Ph: () - | Distinctively Me 33 W 155th Pl South Holland IL 60473-1202 Ph: (708) 730-2340 |
| NPI Number | 1174230585 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174230585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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