Leonard Wanta SC
Leonard Wanta SC is an In Home Supportive Care Agency in Burr Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
126 Circle Ridge DrBurr Ridge, IL 60527-8379
Phone: (630) 789-8962
Fax: (630) 654-3088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 070003801 (IL) |
|---|
Record details
| NPI number | 1568890978 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leonard Wanta — President · (630) 915-6813 |
| Other names | Distinctive Therapy Services |
| NPI enumerated | October 22, 2013 |
| Last updated in NPPES | October 22, 2013 |
| Mailing address | 126 Circle Ridge Dr, Burr Ridge, IL 60527-8379 |
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