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Provena Home Health Inc
Home Infusion Agency in Gurnee, Illinois
NPI 1811946213

Provena Home Health Inc is a Home Infusion Agency based in Frankfort, IL. Provena Home Health Inc practices in Gurnee, IL. The NPI Number for Provena Home Health Inc is 1811946213 and holds a License No. 1010261 (Illinois).

The current practice location address for Provena Home Health Inc is 222 S Greenleaf Ave Ste 103, Gurnee, IL and can be reached out via phone at 847-360-7660 and via fax at 847-360-8411.

Location: 222 S Greenleaf Ave Ste 103, Gurnee, IL, 60423-8334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811946213
Provider Name
Provena Home Health Inc
Credential
Provider Entity Type
Organization
Address
222 S Greenleaf Ave Ste 103, Gurnee, IL, 60423-8334
Phone Number
847-360-7660
Fax Number
847-360-8411
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
04923559 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
222 S Greenleaf Ave Ste 103
City
Gurnee
State
Illinois
Zip
60031-5705
Phone Number
847-360-7660
Fax Number
847-360-8411
person
Provider Business Mailing Address Details
Address
222 S Greenleaf Ave Ste 103
City
Gurnee
State
Illinois
Zip
60031-5705
Phone Number
847-360-7660
Fax Number
847-360-8411
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
1010261 (Illinois)
Definition
Definition to come...
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