Organization
RW NURSESTAFFERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIRANEY REDMOND (REGISTERED NURSE)
(773) 306-2547
Entity
Organization
Contact information
Practice address
9449 S KEDZIE AVE, EVERGREEN PARK, IL 60805-2325
(773) 386-3439
(773) 913-2765
Mailing address
3439 W 82ND PL, CHICAGO, IL 60652-2503
(773) 386-3439
(773) 913-2765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2007-N1041
IL
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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