Organization
NURSE COORDINATORS & HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE H SPIRES (PRESIDENT)
(708) 895-9980
Entity
Organization
Contact information
Practice address
1955 BERNICE RD, SUITE 1SW, LANSING, IL 60438
(708) 895-9980
(708) 895-9987
Mailing address
1955 BERNICE RD, SUITE 1SW, LANSING, IL 60438
(708) 895-9980
(708) 895-9987
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1005594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005594
IDPH
IL
Enumeration date
10/23/2006
Last updated
08/22/2020
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