Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coram Alternate Site Services, Inc

Organization Infusion Therapy Registered Nurse · NPI 1003492307

Coram Alternate Site Services, Inc is an Infusion Therapy Registered Nurse in Mokena, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8910 W 192nd St Ste J
Mokena, IL 60448-8111
Phone: (800) 430-0664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X
Home Health Agency Taxonomy 251E00000X
Home Infusion Agency Taxonomy 251F00000X

Record details

NPI number1003492307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tricia Lacavich — President · (314) 306-3255
Other names Coram Cvs/Specialty Infusion Services; Coram Cvs/Specialty Infusion Services
NPI enumeratedMarch 18, 2021
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing addressPo Box 809160, Chicago, IL 60680-9160