Whalio Doctors

NPI 1942367453

Illinois Veterans Home at Lasalle

Organisation Physical Disabilities Residential Treatment Facility La Salle, IL

Practice location

Address
1015 Oconor Ave, La Salle, IL 61301-1216
Phone
(815) 223-0303
Fax
(815) 223-5815

Authorised official

Name
John G. Koehler
Title
Administrator
Phone
(815) 223-0303

Registered specialties (3)

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X Licence 44115 (IL)
Adult Care Home Facility
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 44115 (IL)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1942367453
Entity type
Organization
NPI issued
3 Jan 2007
Record last updated
24 May 2013

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.