Wellpoint Home Health,inc.

NPI 1073867784 - Home Health - 251E00000X

NPI Details
NPI 1073867784
Enumeration Date 11/01/2012
Last Updated 11/01/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TRACY TRACY
Position PRESIDENT/CEO
Phone (773) 253-9190
Fax (773) 253-9961
Practice Location
10912 S WESTERN AVE
SUITE 4 N
CHICAGO IL, 60643-3205, US
Phone (773) 253-9190
Fax (773) 253-9961
Business Location
10912 S WESTERN AVE
SUITE 4 N
CHICAGO IL, 60643-3205, US
Phone (773) 253-9190
Fax (773) 253-9961
Toxanomy
Taxonomy Code 251E00000X
License State Illinois
License Number 1011534
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According to our database, Wellpoint Home Health,inc. NPI is 1073867784, taxonomy code is 251E00000X and license number is 1011534, license state is located at Illinois. Wellpoint Home Health,inc. physically located at 10912 S Western Ave, Chicago IL, 60643-3205. NPI Number 1033115704 has the healthcare provider type.

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1073867784 NPI number is provided on an as is basis without warranty of any kind. 1073867784 is maintained by the National Plan & Provider Enumeration System. The contents of Wellpoint Home Health,inc. are for informational purposes only.