Healthcare Provider Details

I. General information

NPI: 1336800630
Provider Name (Legal Business Name): PRECISE HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3235 VOLLMER RD STE 104
FLOSSMOOR IL
60422-2069
US

IV. Provider business mailing address

3200 BROOKSIDE BLVD
OLYMPIA FIELDS IL
60461-1863
US

V. Phone/Fax

Practice location:
  • Phone: 708-631-3917
  • Fax:
Mailing address:
  • Phone: 708-833-9014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KRISTI HUGHES
Title or Position: CEO
Credential: DNP, FNP-BC
Phone: 708-833-9014