Provider Demographics
NPI:1841236262
Name:INSIGHT HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:INSIGHT HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:OHPRECIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-285-8302
Mailing Address - Street 1:650 E DEVON AVE
Mailing Address - Street 2:SUITE 190
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-1251
Mailing Address - Country:US
Mailing Address - Phone:630-285-8302
Mailing Address - Fax:630-285-8315
Practice Address - Street 1:650 E DEVON AVE
Practice Address - Street 2:SUITE 190
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-1251
Practice Address - Country:US
Practice Address - Phone:630-285-8302
Practice Address - Fax:630-285-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010415251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL140103116OtherCLIA
IL140103116OtherCLIA