| NPI | 1215203633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK CUSTARDO Credentialling Officer 630-362-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL Applied for) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |