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Organization

STATE OF IL DEPT OF HUMAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH RITTENBACHER LPN (LPN)
(815) 426-6299
Entity
Organization

Contact information

Practice address
1617 W JEFFERSON ST, JOLIET, IL 60435-6724
(815) 730-4231
Mailing address
3334 N 12,000 W ROAD, BONFIELD, IL 60913-7383
(815) 426-6299

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1744428
IL

Other

Enumeration date
12/19/2016
Last updated
12/19/2016
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