Provider Demographics
NPI:1922498948
Name:HEALTH EXP
Entity Type:Organization
Organization Name:HEALTH EXP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD HAFEEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:847-312-2159
Mailing Address - Street 1:7105 VIRGINIA RD
Mailing Address - Street 2:STE 10
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7985
Mailing Address - Country:US
Mailing Address - Phone:847-312-2159
Mailing Address - Fax:
Practice Address - Street 1:7105 VIRGINIA RD
Practice Address - Street 2:STE 10
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-7985
Practice Address - Country:US
Practice Address - Phone:847-312-2159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based