Provider Demographics
NPI:1770215758
Name:ADVOCATE INFUSION SERVICES INC
Entity Type:Organization
Organization Name:ADVOCATE INFUSION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:ALIONA
Authorized Official - Middle Name:
Authorized Official - Last Name:RABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-289-6721
Mailing Address - Street 1:1460 LARKIN AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-5123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1460 LARKIN AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-5123
Practice Address - Country:US
Practice Address - Phone:708-289-6721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy