Illinois Home Providers, Inc

LBN: Illinois Home Providers, Inc
Illinois Home Providers, Inc is an health care organization with primary practice located at 540 W Frontage Rd 2117, Northfield IL 60093-1250. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Illinois Home Providers, Inc can be contacted via phone (224) 505-5907, or through Ramirez-Tasigchana, Kimberly via phone (224) 505-5907.

Contact Information

Primary practice address
540 W Frontage Rd 2117 Northfield IL 60093-1250
Phone: (224) 505-5907
Fax: (224) 255-6057
Website:
Map and Directions
Authorized official contact:
Name: Ramirez-Tasigchana, Kimberly Family Nurse Practitioner (FNP)
Phone: (224) 505-5907

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1972951192
LBN Legal business name Illinois Home Providers, Inc
DBA Doing business as
Authorized official Ramirez-Tasigchana, Kimberly Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2016
Last updated Jul 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972951192 NPPES
Illinois MEDICAID 340766270001

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