Organization
DOCTOR'S ON WHEELS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANANDAVALLY PILLAI (OWNER)
(815) 464-5986
Entity
Organization
Contact information
Practice address
37 E CHICAGO AVE, SUITE 3, WESTMONT, IL 60559-1757
(815) 464-5986
(815) 806-8756
Mailing address
37 E CHICAGO AVE, SUITE 3, WESTMONT, IL 60559-1757
(815) 464-5986
(815) 806-8756
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
036087425
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087425
—
IL
01
—
1184872558
NPI
IL
01
—
1821083791
INDIVIDUAL NPI
IL
01
—
217121
PTAN
IL
Enumeration date
08/28/2008
Last updated
07/02/2009
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