MEDICARE: P&M GENTLE HANDS LLC

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
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1184497059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P&M GENTLE HANDS LLC

Provider Business Mailing Address
First Line	:	230 E OHIO ST STE 410
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-5288
Country	:	US
Telephone Number	:	773-732-2724
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 E OHIO ST STE 410
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-5288
Country	:	US
Telephone Number	:	773-732-2724
Fax Number	:

Authorized Official
Title or Position	:	PHLEBOTOMIST
Name	:	PRINCESS ANDRIANA NELSON
Credential	:
Telephone Number	:	773-732-2724

Provider Enumeration Date	:	11/02/2023
Last Update Date	:	11/06/2023

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