| Eagle Healthy Living Inc | |
|
16057 School St South Holland IL 60473-1630 | |
| (708) 692-2903 | |
| Not Available |
| Full Name | Eagle Healthy Living Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16057 School St, South Holland, Illinois |
| Authorized Official Name and Position | William Bryant (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 7086922903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Healthy Living Inc 16057 School St South Holland IL 60473-1630 Ph: () - | Eagle Healthy Living Inc 16057 School St South Holland IL 60473-1630 Ph: (708) 692-2903 |
| NPI Number | 1801279344 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801279344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 209011607 (Illinois) | Primary |
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