Whalio Doctors

NPI 1205885407

Provena Home Health INC

Organisation Home Infusion Agency Elgin, IL

Practice location

Address
77 North Airlite Mob1 Suite 120, Elgin, IL 60123-4912
Phone
(847) 931-5553
Fax
(847) 622-2055
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 1010260 (IL)

Registry record

NPI
1205885407
Entity type
Organization
NPI issued
8 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.