Organization
PROFESSIONAL INFUSION CONSULTANTS CORPORATION
Active
Organization
PROFESSIONAL INFUSION CONSULTANTS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J DONAHUE RN (RN/PRESIDENT)
(630) 205-2924
Entity
Organization
Contact information
Practice address
1628 WINDWARD AVE, NAPERVILLE, IL 60563-1896
(630) 205-2924
Mailing address
1628 WINDWARD AVE, NAPERVILLE, IL 60563-1896
(630) 205-2924
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
BILLING
IL
Enumeration date
03/16/2017
Last updated
03/16/2017
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