Whalio Doctors

NPI 1043269442

Provena Home Health INC

Organisation Home Infusion Agency Champaign, IL

Practice location

Address
2018 Glenn Park Drive, Champaign, IL 61821-9961
Phone
(217) 355-4120
Fax
(217) 355-4121
Mailing address
9223 West St Francis Road, Frankfort, IL 60423-8334

Authorised official

Name
Margaret C Gleason
Title
President Ceo
Phone
(815) 806-2364

Registered specialties

Home Infusion Agency Primary
Agencies Taxonomy 251F00000X Licence 1010264 (IL)

Registry record

NPI
1043269442
Entity type
Organization
NPI issued
10 May 2006
Record last updated
22 Aug 2020

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.