ADVANCED LIFE PROVIDERS

MATTESON, IL
NPI1114450707
Entity TypeOrganization
Authorized ContactLA TONYA LEE RAFE
CEO
847-830-7385
Organization Subpart ?No
Primary Taxonomy174H00000X Health Educator
(Licence: IL  041348482)
Enumeration Date2017-04-10
Last Update Date2017-04-10
Business Address
ADVANCED LIFE PROVIDERS
239 WILLOW RD
MATTESON, IL 60443-1068
Phone number: 847-830-7385
Mailing Address
ADVANCED LIFE PROVIDERS
239 WILLOW RD
MATTESON, IL 60443-1068
Phone number: 847-830-7385