Organization
ILLINOIS HOME PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY RAMIREZ-TASIGCHANA FNP (FNP-C/ PRESIDENT)
(224) 505-5907
Entity
Organization
Contact information
Practice address
540 W FRONTAGE RD, 2117, NORTHFIELD, IL 60093-1250
(224) 505-5907
(224) 255-6057
Mailing address
540 W FRONTAGE RD, 2117, NORTHFIELD, IL 60093-1250
(224) 505-5907
(224) 255-6057
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340766270001
—
IL
Enumeration date
05/27/2016
Last updated
07/26/2016
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