Southland Care Coordination Partners, Inc.

NPI #1952957698 in Matteson, Illinois

Provider Information

NPI Number: 1952957698
Entity Type: Organization
Organization Name: Southland Care Coordination Partners, Inc.
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Aug 16, 2019
Last Updated: May 12, 2021

Practice Location

Address: 600 HOLIDAY PLAZA DR
City: Matteson
State: Illinois
ZIP Code: 60443-2241
Phone: (708) 996-4002

Authorized Official

Name: DR. ANN ASSAM, PHAMD
Title: TREASURER
Phone: (708) 567-2053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Case Management	251B00000X
Home Health	251E00000X
Transportation Broker	347E00000X
Nurse Practitioner - Family — Family	363LF0000X	Primary

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