NPI 1114450707

Advanced Life Providers

Organisation Health Educator Matteson, IL

Practice location

Address: 239 Willow Rd, Matteson, IL 60443-1068
Phone: (847) 830-7385

Authorised official

Name: La Tonya Lee Rafe
Title: Ceo
Phone: (847) 830-7385

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence 041348482 (IL)

Other Health Educator providers in Illinois →

Registry record

NPI: 1114450707
Entity type: Organization
NPI issued: 10 Apr 2017
Record last updated: 10 Apr 2017

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.