Earlesian Health Concepts

NPI #1881954949 in Olympia Fields, Illinois

Provider Information

NPI Number: 1881954949
Entity Type: Organization
Organization Name: Earlesian Health Concepts
Primary Specialty: Specialist
Enumeration Date: May 23, 2012
Last Updated: May 23, 2012

Practice Location

Address: 20815 BROOKSIDE BLVD
City: Olympia Fields
State: Illinois
ZIP Code: 60461-1712
Phone: (708) 283-5049

Authorized Official

Name: DR. LUCIUS C EARLES III, M.D.
Title: OWNER
Phone: (708) 283-5049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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