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Organization

MEDPRO HEALTH PROVIDERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RIZALDY LARGA VILLASENOR (PRESIDENT / CEO)
(708) 240-8088
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011286
IL

Other

Enumeration date
09/10/2010
Last updated
07/12/2021
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