Organization
PROFESSIONAL MEDICAL STAFFING CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DISANTI D.O. (OFFICER)
18156334100
Entity
Organization
Contact information
Practice address
6550 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4424
(181) 565-4853
(181) 565-4857
Mailing address
6550 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4424
(181) 565-4853
(181) 565-4857
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1807563
IL
251E00000X
Home Health Agency
Primary
2006-N0045
IL
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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