Provider Demographics
NPI:1043339344
Name:HEALING HANDS
Entity Type:Organization
Organization Name:HEALING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:773-281-7100
Mailing Address - Street 1:2334 W LAWRENCE AVE
Mailing Address - Street 2:SUITE 221
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-1948
Mailing Address - Country:US
Mailing Address - Phone:773-281-7100
Mailing Address - Fax:773-654-5202
Practice Address - Street 1:2334 W LAWRENCE AVE
Practice Address - Street 2:SUITE 221
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-1948
Practice Address - Country:US
Practice Address - Phone:773-281-7100
Practice Address - Fax:773-654-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1618591OtherBCBS ID
IL1618591OtherBCBS ID