| NPI | 1982046355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNMI MARTINS-MENSAH Executive Director 815-295-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 12HM519014) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: IL 44CSA00737) |
| 253Z00000X In Home Supportive Care (Licence: IL QMXHPQ0915) | |
| 305S00000X Point of Service (Licence: IL QXIPQ0000096439) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2016-10-20 |