| Ijv Home Visits Llc | |
|
5250 Old Orchard Rd Apt 1501 Skokie IL 60077-4460 | |
| (312) 714-7712 | |
| Not Available |
| Full Name | Ijv Home Visits Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 5250 Old Orchard Rd, Skokie, Illinois |
| Authorized Official Name and Position | Isabel F Faircloth (PRESIDENT) |
| Authorized Official Contact | 3127147712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ijv Home Visits Llc 5250 Old Orchard Rd Apt 1501 Skokie IL 60077-4460 Ph: () - | Ijv Home Visits Llc 5250 Old Orchard Rd Apt 1501 Skokie IL 60077-4460 Ph: (312) 714-7712 |
| NPI Number | 1215305842 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215305842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 209005626 (Illinois) | Primary |
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