Ijv Home Visits LLC

NPI #1215305842 in Skokie, Illinois

Provider Information

NPI Number
1215305842
Entity Type
Organization
Organization Name
Ijv Home Visits LLC
Primary Specialty
Family Medicine - Adult Medicine
Enumeration Date
Sep 14, 2015
Last Updated
Sep 14, 2015

Practice Location

Address
5250 OLD ORCHARD RD
Address 2
APT 1501
City
Skokie
ZIP Code
60077-4460
Phone
(312) 714-7712

Authorized Official

Name
ISABEL F FAIRCLOTH, NP
Title
PRESIDENT
Phone
(312) 714-7712

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine

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