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Provena Care At Home
Durable Medical Equipment & Medical Supplies in Joliet, Illinois
NPI 1386689610

Provena Care At Home is a Durable Medical Equipment & Medical Supplies based in Frankfort, IL. Provena Care At Home practices in Joliet, IL. The NPI Number for Provena Care At Home is 1386689610 and holds a License No. 11580037 (Illinois).

The current practice location address for Provena Care At Home is 1100 Essington Road, Joliet, IL and can be reached out via phone at 815-773-7868.

Location: 1100 Essington Road, Joliet, IL, 60423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386689610
Provider Name
Provena Care At Home
Credential
Provider Entity Type
Organization
Address
1100 Essington Road, Joliet, IL, 60423
Phone Number
815-773-7868
Fax Number
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9923629 01 IL BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
1100 Essington Road
City
Joliet
State
Illinois
Zip
60435-8429
Phone Number
815-773-7868
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Essington Road
City
Joliet
State
Illinois
Zip
60435-8429
Phone Number
815-773-7868
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
11580037 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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