Coram Alternate Site Services, INC.

Practice location

Address

8910 W 192nd St STE J, Mokena, IL 60448-8111

Phone

(800) 430-0664

Mailing address

PO Box 809160, Chicago, IL 60680-9160

Authorised official

Name

Tricia Lacavich

Title

President

Phone

(314) 306-3255

Registered specialties (4)

Registry record

NPI

1003492307

Entity type

Organization

NPI issued

18 Mar 2021

Record last updated

9 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.