Elite Health Care Providers, Llc

NPI 1053570614 - Home Health - 251E00000X

NPI Details
NPI 1053570614
Enumeration Date 06/08/2008
Last Updated 06/08/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BERNADETTE CAGOCO BERNADETTE
Position ADMINISTRATOR
Phone (815) 836-8100
Fax (815) 838-9188
Practice Location
913 S STATE ST
SUITE 2
LOCKPORT IL, 60441-3613, US
Phone (815) 836-8100
Fax (815) 838-9188
Business Location
913 S STATE ST
SUITE 2
LOCKPORT IL, 60441-3613, US
Phone (815) 836-8100
Fax (815) 838-9188
Toxanomy
Taxonomy Code 251E00000X
License State Illinois
License Number 1010863
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According to our database, Elite Health Care Providers, Llc NPI is 1053570614, taxonomy code is 251E00000X and license number is 1010863, license state is located at Illinois. Elite Health Care Providers, Llc physically located at 913 S State St, Lockport IL, 60441-3613. NPI Number 1033115704 has the healthcare provider type.

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1053570614 NPI number is provided on an as is basis without warranty of any kind. 1053570614 is maintained by the National Plan & Provider Enumeration System. The contents of Elite Health Care Providers, Llc are for informational purposes only.