Healthcare Provider Details

I. General information

NPI: 1427162841
Provider Name (Legal Business Name): ARLENE F KEANE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8145 RIVER DR
MORTON GROVE IL
60053-2660
US

IV. Provider business mailing address

388 INDIAN HILL DR
BUFFALO GROVE IL
60089-1905
US

V. Phone/Fax

Practice location:
  • Phone: 888-345-7337
  • Fax:
Mailing address:
  • Phone: 847-215-7053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: