Organization
PEACEFUL NITES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY ANNE PHILLIPS MSN RCP (PRESIDENT)
(815) 729-2700
Entity
Organization
Contact information
Practice address
2541 DIVISION ST, STE 102, JOLIET, IL 60435-8737
(815) 729-2700
(815) 729-4500
Mailing address
2541 DIVISION ST, STE 102, JOLIET, IL 60435-8737
(815) 729-2700
(815) 729-4500
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932025
BCBS
IL
Enumeration date
03/03/2006
Last updated
08/22/2020
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