Provider Demographics
NPI:1760826358
Name:ADONIA HEALTH SYSTEM, CORP
Entity Type:Organization
Organization Name:ADONIA HEALTH SYSTEM, CORP
Other - Org Name:ADONIA HEALTH SYSTEM
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:OMOLOLA
Authorized Official - Last Name:ADEMIJU
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:312-770-0271
Mailing Address - Street 1:1 DEARBORN SQUARE, SUITE 530
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-2814
Mailing Address - Country:US
Mailing Address - Phone:815-304-5044
Mailing Address - Fax:815-614-3715
Practice Address - Street 1:1 DEARBORN SQ STE 530
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-3956
Practice Address - Country:US
Practice Address - Phone:815-304-5044
Practice Address - Fax:815-614-3715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health