| NPI | 1982886974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY BONGON SIAPNO Administrator/Agency Supervisor 630-620-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 1010750) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2013-02-15 |