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Provena Home Health Inc
Home Infusion Agency in Joliet, Illinois
NPI 1326097528

Provena Home Health Inc is a Home Infusion Agency based in Frankfort, IL. Provena Home Health Inc practices in Joliet, IL. The NPI Number for Provena Home Health Inc is 1326097528 and holds a License No. 1010263 (Illinois).

The current practice location address for Provena Home Health Inc is 991 Essington Road, Joliet, IL and can be reached out via phone at 815-741-7371 and via fax at 815-773-7450.

Location: 991 Essington Road, Joliet, IL, 60423-8334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326097528
Provider Name
Provena Home Health Inc
Credential
Provider Entity Type
Organization
Address
991 Essington Road, Joliet, IL, 60423-8334
Phone Number
815-741-7371
Fax Number
815-773-7450
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
09923563 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
991 Essington Road
City
Joliet
State
Illinois
Zip
60435-8429
Phone Number
815-741-7371
Fax Number
815-773-7450
person
Provider Business Mailing Address Details
Address
991 Essington Road
City
Joliet
State
Illinois
Zip
60435-8429
Phone Number
815-741-7371
Fax Number
815-773-7450
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
1010263 (Illinois)
Definition
Definition to come...
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