Advanced Life Providers

NPI #1114450707 in Matteson, Illinois

Provider Information

NPI Number: 1114450707
Entity Type: Organization
Organization Name: Advanced Life Providers
Primary Specialty: Health Educator
Enumeration Date: Apr 10, 2017
Last Updated: Apr 10, 2017

Practice Location

Address: 239 WILLOW RD
City: Matteson
State: Illinois
ZIP Code: 60443-1068
Phone: (847) 830-7385

Authorized Official

Name: LA TONYA LEE RAFE, RN
Title: CEO
Phone: (847) 830-7385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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