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Provena Home Health Inc
Home Infusion Agency in Elgin, Illinois
NPI 1205885407

Provena Home Health Inc is a Home Infusion Agency based in Frankfort, IL. Provena Home Health Inc practices in Elgin, IL. The NPI Number for Provena Home Health Inc is 1205885407 and holds a License No. 1010260 (Illinois).

The current practice location address for Provena Home Health Inc is 77 North Airlite, Elgin, IL and can be reached out via phone at 847-931-5553 and via fax at 847-622-2055.

Location: 77 North Airlite, Elgin, IL, 60423-8334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205885407
Provider Name
Provena Home Health Inc
Credential
Provider Entity Type
Organization
Address
77 North Airlite, Elgin, IL, 60423-8334
Phone Number
847-931-5553
Fax Number
847-622-2055
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04523557 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
77 North Airlite
City
Elgin
State
Illinois
Zip
60123-4912
Phone Number
847-931-5553
Fax Number
847-622-2055
person
Provider Business Mailing Address Details
Address
77 North Airlite
City
Elgin
State
Illinois
Zip
60123-4912
Phone Number
847-931-5553
Fax Number
847-622-2055
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
1010260 (Illinois)
Definition
Definition to come...
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