# PROFESSIONAL MEDICAL STAFFING CORP.

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

## Provider details

- **NPI number:** 1104027242
- **Authorized official:** DR. STEVEN DISANTI D.O. (OFFICER)
- **Authorized official phone:** 18156334100

## Contact information

- **Practice address:** 6550 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4424
- **Practice address phone:** (181) 565-4853
- **Practice address fax:** (181) 565-4857
- **Mailing address:** 6550 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4424
- **Mailing address phone:** (181) 565-4853
- **Mailing address fax:** (181) 565-4857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1807563 | IL | — |
| 251E00000X | Home Health Agency | 2006-N0045 | IL | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 08/22/2020