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NPI 1295183598 · Contractor · Midlothian, IL
Provider details
- NPI number
- 1295183598
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Rush, Educator(708) 368-7482
- License
- 2338618 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
14507 Pulaski Rd Apt 1
Midlothian, IL 60445-2850
Phone: (708) 368-7482
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 242
Midlothian, IL 60445-0242
Registry dates
- Enumerated
- 2016-05-26
- Last updated
- 2016-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.