NPI 1881054757

Statewide Agency

Organisation Supports Brokerage Agency Glenview, IL

Practice location

Address: 1920 Waukegan Rd Suite 5, Glenview, IL 60025-1717
Phone: (847) 724-3600
Fax: (847) 241-0202
Mailing address: 1920 Waukegan Road Suite 5, Glenview, IL 60025

Authorised official

Name: Hak I Jin
Title: President
Phone: (847) 724-3600

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 100287909 (IL)

Other Supports Brokerage providers in Illinois →

Registry record

NPI: 1881054757
Entity type: Organization
NPI issued: 4 Mar 2016
Record last updated: 4 Mar 2016

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.