Organization
HELIA HEALTHCARE OF CHAMPAIGN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MILLER (MEMBER)
(312) 994-2306
Entity
Organization
Contact information
Practice address
1915 S MATTIS AVE, CHAMPAIGN, IL 61821-5919
(217) 352-0516
Mailing address
1111 WESTGATE TERRACE, SUITE 110, OAK PARK, IL 60301
(312) 994-2306
(312) 896-5951
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0041897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041897
FACILITY LICENSE NUMBER
IL
Enumeration date
06/15/2006
Last updated
10/11/2013
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