Organization
ILLINOIS HOME MED VISITS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLANDO SALVATIERRA SAJOR MD (PRESIDENT)
(773) 631-6000
Entity
Organization
Contact information
Practice address
820 E OLD WILLOW RD, UNIT #112, PROSPECT HEIGHTS, IL 60070-2152
(773) 631-6000
(773) 894-7772
Mailing address
7257 W TOUHY AVE, SUITE 201A, CHICAGO, IL 60631-4342
(773) 631-6000
(773) 894-7772
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036070414
IL
Other
Enumeration date
12/08/2010
Last updated
06/20/2011
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