| Growth Network Services | |
|
29 W 159th St Harvey IL 60426-4906 | |
| (708) 566-1185 | |
| (708) 566-1190 |
| Full Name | Growth Network Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 29 W 159th St, Harvey, Illinois |
| Authorized Official Name and Position | Lukesha Tate (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 7085661185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Network Services 29 W 159th St Harvey IL 60426-4906 Ph: (708) 566-1185 | Growth Network Services 29 W 159th St Harvey IL 60426-4906 Ph: (708) 566-1185 |
| NPI Number | 1013750009 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013750009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | () | Secondary |
| 174200000X | Meals | () | Secondary |
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