| Illinois Home Med Visits | |
|
820 E Old Willow Rd Unit #112 Prospect Heights IL 60070-2152 | |
| (773) 631-6000 | |
| (773) 894-7772 |
| Full Name | Illinois Home Med Visits |
|---|---|
| Speciality | General Practice |
| Location | 820 E Old Willow Rd, Prospect Heights, Illinois |
| Authorized Official Name and Position | Rolando Salvatierra Sajor (PRESIDENT) |
| Authorized Official Contact | 7736316000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Home Med Visits 7257 W Touhy Ave Suite 201a Chicago IL 60631-4342 Ph: (773) 631-6000 | Illinois Home Med Visits 820 E Old Willow Rd Unit #112 Prospect Heights IL 60070-2152 Ph: (773) 631-6000 |
| NPI Number | 1770886061 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 06/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770886061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036070414 (Illinois) | Primary |
Eduardo Villa, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 622 N Milwaukee Ave, Prospect Heights, IL 60070 Phone: 847-520-4887 Fax: 847-520-4936 | |
Korean-american Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 664 N Milwaukee Ave, Suite 209, Prospect Heights, IL 60070 Phone: 847-520-1999 |