# MEDPRO HEALTH PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073820049
- **Authorized official:** MR. RIZALDY LARGA VILLASENOR (PRESIDENT / CEO)
- **Authorized official phone:** (708) 240-8088

## Contact information

- **Practice address:** 16820 OAK PARK AVE, TINLEY PARK, IL 60477-2752
- **Practice address phone:** (708) 240-8088
- **Practice address fax:** (708) 251-1123
- **Mailing address:** 16325 HARLEM AVE STE 350, TINLEY PARK, IL 60477-2509
- **Mailing address phone:** (708) 240-8088
- **Mailing address fax:** (708) 251-1123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1011286 | IL | Yes |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 07/12/2021