Whalio Doctors

NPI 1568555316

Supportive Home Health LLC

Organisation Home Health Agency Bartlett, IL

Practice location

Address
1540 Hecht Dr Suite H, Bartlett, IL 60103-1699
Phone
(630) 830-8000
Fax
(630) 830-8004
Mailing address
1540 Bridle Ln, Bartlett, IL 60103-1853

Authorised official

Name
Raymond Dwight Dolan
Title
Vice President of Operations
Phone
(630) 830-8000

Registered specialties (2)

Home Health Agency Primary
Agencies Taxonomy 251E00000X Licence 4243128 (IL)
Oxygen Equipment & Supplies (DME)
Suppliers Taxonomy 332BX2000X Licence 203.000883 (IL)

Registry record

NPI
1568555316
Entity type
Organization
NPI issued
2 Oct 2006
Record last updated
17 Jan 2012

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.