Organization
GSP UNITED LLC
Active
Other names
Interim Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD BULGER (PRESIDENT)
(630) 359-6660
Entity
Organization
Contact information
Practice address
188 W INDUSTRIAL DR, SUITE 124, ELMHURST, IL 60126-1623
(630) 359-6660
(630) 279-7325
Mailing address
188 W INDUSTRIAL DR, SUITE 124, ELMHURST, IL 60126-1623
(630) 359-6660
(630) 279-7325
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2007-N0020
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000002649
HUMANA
IL
01
—
1633280
BLUE CROSS
IL
05
—
371442495001
—
IL
01
—
37308
ALLIED HEALTH
IL
01
—
5215621
AETNA
IL
01
—
5911112669
STATE OF WASHINGTON
IL
01
—
611413200
DEPARTMENT OF LABOR
IL
01
—
61271
PRINCIPAL LIFE INSURANCE
IL
Enumeration date
06/26/2007
Last updated
04/11/2012
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