Blackbag Home Physician Service LLC
Blackbag Home Physician Service LLC is a Health Service Clinic/Center in Park Forest, Illinois. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
437 Navajo StPark Forest, IL 60466-2520
Phone: (815) 406-5011
Fax: (888) 311-8610
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1770824161 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nichelle Hampton — Chief Executive Officer · (312) 399-0285 |
| NPI enumerated | March 9, 2013 |
| Last updated in NPPES | December 21, 2014 |
| Mailing address | 21200 S Lagrange Rd, 305, Frankfort, IL 60423-2003 |