Organization
ADVANCE HOME HEALTH , INC.
Active
Other names
ADVANCE CARE AND INFUSION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MARIETTA BONDAD (AGENCY SUPERVISOR)
(630) 545-0179
Entity
Organization
Contact information
Practice address
800 ROOSEVELT RD, BLDG. A, SUITE 212, GLEN ELLYN, IL 60137-5839
(630) 545-0179
(630) 545-0208
Mailing address
800 ROOSEVELT RD, BLDG. A, SUITE 212, GLEN ELLYN, IL 60137-5839
(630) 545-0179
(630) 545-0208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010783
IL
251F00000X
Home Infusion Agency
1010783
IL
Other
Enumeration date
09/10/2007
Last updated
06/29/2016
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