Provider Demographics
NPI:1114278629
Name:MIDWEST INTEGRATED HOME HEALTH INC.
Entity Type:Organization
Organization Name:MIDWEST INTEGRATED HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DON
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIOKNO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:630-470-9100
Mailing Address - Street 1:1700 PARK ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1540
Mailing Address - Country:US
Mailing Address - Phone:630-470-9100
Mailing Address - Fax:630-470-9822
Practice Address - Street 1:1700 PARK ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1540
Practice Address - Country:US
Practice Address - Phone:630-470-9100
Practice Address - Fax:630-470-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health