Organization
VISITING NURSES OF ILLINOIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BALAJOJI REDDY THANUGUNDLA (PRESIDENT)
(773) 728-6820
Entity
Organization
Contact information
Practice address
5901 N CICERO AVE STE 102, CHICAGO, IL 60646-5715
(773) 728-6820
(773) 672-8895
Mailing address
5901 N CICERO AVE STE 102, CHICAGO, IL 60646-5715
(773) 728-6820
(773) 672-8895
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
06/25/2021
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