Organization
IBG HOME NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IZIEGBE IRUANSI RN (ADMINISTRATOR)
(312) 519-4185
Entity
Organization
Contact information
Practice address
3422 W 137TH ST, ROBBINS, IL 60472-1606
(312) 519-4185
Mailing address
3422 W 137TH ST, ROBBINS, IL 60472-1606
(312) 519-4185
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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