Organization
HOME AIR OF JOLIET,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE EDMAN (PRESIDENT/OWNER)
(815) 741-0712
Entity
Organization
Contact information
Practice address
1500 ESSINGTON RD, SUITE 3, JOLIET, IL 60435-8414
(815) 741-0712
(815) 741-9277
Mailing address
1500 ESSINGTON RD, SUITE 3, JOLIET, IL 60435-8414
(815) 741-0712
(815) 741-9277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000549
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670375
BC BS PROVIDER #
IL
Enumeration date
07/07/2005
Last updated
09/06/2017
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