Organization
ILLINI HEALTH SERVICES, LLC
Active
Other names
IHS Acquisition LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN KAY LONG (VICE PRESIDENT - FINANCE)
(217) 223-3197
Entity
Organization
Contact information
Practice address
121 N FRANKLIN ST, PITTSFIELD, IL 62363-1317
(217) 285-1914
(217) 285-9433
Mailing address
121 N FRANKLIN ST, PITTSFIELD, IL 62363-1317
(217) 285-1914
(217) 285-9433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028491
HEALTH ALLIANCE
—
01
—
561191
HEALTHLINK
—
01
—
7515680
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/16/2007
Last updated
08/22/2020
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