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Organization

STATSTAFF NURSES, PC

Active
Other names
STATSTAFF HOME HEALTH AGENCY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES EUGENE WILSON JR. PRESIDENT (CEO)
(630) 682-0118
Entity
Organization

Contact information

Practice address
100 W ROOSEVELT RD, BUILDING B-5, SUITE 205, WHEATON, IL 60187-5260
(630) 682-0118
(630) 682-0137
Mailing address
100 W ROOSEVELT RD, BUILDING B-5, SUITE 205, WHEATON, IL 60187-5260
(630) 682-0118
(630) 682-0137

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IL1010609
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IL1010609
HOME HEALTH LICENSE
IL
Enumeration date
11/29/2006
Last updated
08/22/2020
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