Illinois Home Med Visits

NPI #1770886061 in Prospect Heights, Illinois

Provider Information

NPI Number: 1770886061
Entity Type: Organization
Organization Name: Illinois Home Med Visits
Primary Specialty: General Practice
Enumeration Date: Dec 8, 2010
Last Updated: Jun 20, 2011

Practice Location

Address: 820 E OLD WILLOW RD
Address 2: UNIT #112
City: Prospect Heights
State: Illinois
ZIP Code: 60070-2152
Phone: (773) 631-6000

Authorized Official

Name: DR. ROLANDO SALVATIERRA SAJOR, MD
Title: PRESIDENT
Phone: (773) 631-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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