Organization
PHYSICIAN HOME CARE SERVICES PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONALYN PELAEZ STEPHEN (PRESIDENT / CEO)
(630) 529-7427
Entity
Organization
Contact information
Practice address
121 FAIRFIELD WAY, SUITE 207, BLOOMINGDALE, IL 60108-1588
(630) 529-7427
(630) 529-9937
Mailing address
121 FAIRFIELD WAY, SUITE 207, BLOOMINGDALE, IL 60108-1243
(630) 529-7427
(630) 529-9937
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036081593
IL
251E00000X
Home Health Agency
Primary
216022
IL
Other
Enumeration date
11/20/2007
Last updated
10/23/2014
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