Healthcare Provider Details

I. General information

NPI: 1609521582
Provider Name (Legal Business Name): INTERIM HEALTHCARE SERVICES OF JOLIET, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2022
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N HAMMES AVE STE 301E
JOLIET IL
60435-8147
US

IV. Provider business mailing address

310 N HAMMES AVE STE 301E
JOLIET IL
60435-8147
US

V. Phone/Fax

Practice location:
  • Phone: 815-725-9091
  • Fax: 815-725-9094
Mailing address:
  • Phone: 815-725-9091
  • Fax: 815-725-9094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHERYL LEE GERICKE
Title or Position: ADMINISTATOR
Credential:
Phone: 815-725-9091