Provider Demographics
NPI:1407946783
Name:HOLISTIC HEALTH PARTNERS INC
Entity Type:Organization
Organization Name:HOLISTIC HEALTH PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYJUCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-272-9398
Mailing Address - Street 1:2340 S RIVER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-3226
Mailing Address - Country:US
Mailing Address - Phone:708-272-9398
Mailing Address - Fax:708-272-9399
Practice Address - Street 1:2340 S RIVER RD STE 110
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-3226
Practice Address - Country:US
Practice Address - Phone:708-272-9398
Practice Address - Fax:708-272-9399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-15
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1011942OtherIDPH LICENSE