# ILLINOIS NURSING HOME& HOSPITAL PHYSICIAN SERVICE CORPORATION

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

## Provider details

- **NPI number:** 1801268925
- **Authorized official:** SANDRA LOVITT (MANAGER)
- **Authorized official phone:** (630) 527-6390

## Contact information

- **Practice address:** 640 S WASHINGTON ST, STE 380, NAPERVILLE, IL 60540-6603
- **Practice address phone:** (630) 527-6390
- **Practice address fax:** (630) 527-6392
- **Mailing address:** 640 S WASHINGTON ST, STE 380, NAPERVILLE, IL 60540-6603
- **Mailing address phone:** (630) 527-6390
- **Mailing address fax:** (630) 527-6392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 10/28/2015
