Homecgoy, Imelda

Homecgoy, Imelda is an sole proprietor health care provider with primary practice located at 8645 Woodward Ave , Woodridge IL 60517-3148. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Homecgoy, Imelda can be contacted via phone (630) 910-2250.

Contact Information

Primary practice address
8645 Woodward Ave Woodridge IL 60517-3148
Phone: (630) 910-2250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.013686 Illinois

Profile Details

NPI number 1487010534
LBN Legal business name Homecgoy, Imelda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2016
Last updated Jan 17th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487010534 NPPES
Illinois Other 209.013686 LICENSE NUMBER

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