Provider Demographics
NPI:1437391695
Name:ILLINOIS HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:ILLINOIS HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:VERCELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-966-9962
Mailing Address - Street 1:8430 GROSS POINT RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-2000
Mailing Address - Country:US
Mailing Address - Phone:847-966-9962
Mailing Address - Fax:847-966-9906
Practice Address - Street 1:8430 GROSS POINT RD STE 202
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2000
Practice Address - Country:US
Practice Address - Phone:847-966-9962
Practice Address - Fax:847-966-9906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health