Healthcare Provider Details

I. General information

NPI: 1376653188
Provider Name (Legal Business Name): ISI HEALTH CARE LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4116 DIAMOND CT
NAPERVILLE IL
60564-7131
US

IV. Provider business mailing address

4116 DIAMOND CT
NAPERVILLE IL
60564-7131
US

V. Phone/Fax

Practice location:
  • Phone: 630-904-0850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. ISIDELA VILLARUZ BIGOL
Title or Position: PRESIDENT
Credential: RN
Phone: 630-904-0850