South Side Rejuvenation LLC
NPI #1386418184 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1386418184
- Entity Type
- Organization
- Organization Name
- South Side Rejuvenation LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 13, 2023
- Last Updated
- Nov 13, 2023
Practice Location
- Address
- 17749 65TH AVE
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-4370
- Phone
- (708) 670-2576
Authorized Official
- Name
- MRS. ALICIA BELCHER, APRN
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (708) 670-2576
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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