Provena Home Infusioin Waukegan

LBN: Provena Home Health Inc
Provena Home Infusioin Waukegan is an health care organization with primary practice located at 222 S Greenleaf Ave Ste 103 , Gurnee IL 60031-5705. The organization recently has only one registered license in Agencies / Home Infusion, which is considered as the primary health care specialty. Provena Home Health Inc can be contacted via phone (847) 360-7660, or through Gleason, Margaret C via phone (815) 806-2364.

Contact Information

Primary practice address
222 S Greenleaf Ave Ste 103 Gurnee IL 60031-5705
Phone: (847) 360-7660
Fax: (847) 360-8411
Website:
Map and Directions
Authorized official contact:
Name: Gleason, Margaret C RN MSN
Phone: (815) 806-2364

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X 1010261 Illinois

Profile Details

NPI number 1811946213
LBN Legal business name Provena Home Health Inc
DBA Doing business as Provena Home Infusioin Waukegan
Authorized official Gleason, Margaret C RN MSN
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1811946213 NPPES
Illinois Other 04923559 BLUE SHIELD

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