NPI 1558957324

Reuben C Hadzide, REGISTEREDNURSERN

Practitioner Adult Care Home Facility Olympia Fields, IL

Practice location

Address: 20200 Governors Dr STE 204, Olympia Fields, IL 60461-1056
Phone: (708) 991-7126
Fax: (312) 229-0067
Mailing address: 5291 Providence Dr., Matteson, IL 60443

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 041.270574 (IL)

Other Custodial Care Facility providers in Illinois →

Registry record

NPI: 1558957324
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2020
Record last updated: 6 Dec 2023

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.