# WILLIS HEALTH AGENCY INC.

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

## Provider details

- **NPI number:** 1619612165
- **Authorized official:** STEPHANIE WILLIS (OWNER/PRESIDENT)
- **Authorized official phone:** (312) 480-1656

## Contact information

- **Practice address:** 1448 N MILWAUKEE AVE STE 202, CHICAGO, IL 60622-6412
- **Practice address phone:** (708) 462-4288
- **Mailing address:** 1448 N MILWAUKEE AVE STE 202, CHICAGO, IL 60622-6412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2022
- **Last updated:** 04/29/2022