Interactive Healthcare Of Central Illinois
Home Health in Maywood, IL. Organization (NPI-2).
NPI number1033404363
StatusActive
Last updated in NPPESJun 15, 2011
Details
- NPI
- 1033404363
- Entity type
- Organization (NPI-2)
- Legal business name
- Interactive Healthcare Of Central Illinois
- Organization subpart
- No
- Enumeration date
- Jun 15, 2011
- Last updated
- Jun 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 1011482 | IL | Yes |
Practice location
1701 S 1st AveSuite 503
Maywood, IL 60153-2442
Phone 708-344-7930 · Fax 708-344-7932
Mailing address
1701 S 1st AveSuite 503
Maywood, IL 60153-2442
Phone 708-344-7930 · Fax 708-344-7932
Authorized official
Paul Gossman
President
7083447930
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