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NPI Code Detail

MEDICARE: PARTUM HEALTH SERVICE CORPORATION

MEDICARE: PARTUM HEALTH SERVICE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2133NN1002XNutrition Education Nutritionist
3163WC0400XCase Management Registered Nurse
4261QP2000XPhysical Therapy Clinic/Center
5374J00000XDoula
6207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1316694193
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARTUM HEALTH SERVICE CORPORATION
Provider Business Mailing Address
First Line : 1950 W ROSCOE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-1030
Country : US
Telephone Number : 773-817-1189
Fax Number :
Provider Business Practice Location Address
First Line : 1950 W ROSCOE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60657-1030
Country : US
Telephone Number : 773-817-1189
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. MELISSA DENNIS
Credential : MD
Telephone Number : 773-817-1189
Provider Enumeration Date : 03/02/2022
Last Update Date : 03/02/2022

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Directions to “PARTUM HEALTH SERVICE CORPORATION ” Practice Location

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