NPI 1053910505

Tishieka Hollingsworth

Practitioner Homemaker Park Forest, IL

Practice location

Address: 220 Forest Blvd, Park Forest, IL 60466-2032
Phone: (708) 980-1018
Fax: (866) 630-3186

Registered specialties (5)

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 3001188 (IL)

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X Licence 3001188 (IL)

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Attendant Care Provider

Nursing Service Related Providers Taxonomy 3747A0650X Licence 3001188 (IL)

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X Licence 3001188 (IL)

Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence 3001188 (IL)

Other Home Health Aide providers in Illinois →

Registry record

NPI: 1053910505
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2020
Record last updated: 25 Oct 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.