PROVIDER HEALTHCARE SERVICES, INC

KANKAKEE, IL
NPI1417352105
Entity TypeOrganization
Authorized ContactSULAIMON K OLADIPO
President
773-301-8464
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
(Licence: IL  1011663)
Enumeration Date2014-10-24
Last Update Date2014-10-27
Business Address
PROVIDER HEALTHCARE SERVICES, INC
555 SOUTH SCHUYLER SUITE 275
KANKAKEE, IL 60901
Phone number: 773-301-8464
Mailing Address
PROVIDER HEALTHCARE SERVICES, INC
555 S SCHUYLER AVE SUITE 275
KANKAKEE, IL 60901-5146
Phone number: 773-301-8464
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