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 1114511490

Coram Alternate Site Services, Inc is an Infusion Therapy Registered Nurse in Champaign, 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

2022 Glenn Park Dr
Champaign, IL 61821-2405
Phone: (217) 356-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1114511490
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 enumeratedFebruary 26, 2021
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing addressPo Box 809160, Chicago, IL 60680-9160