Healthcare Provider Details

I. General information

NPI: 1588284962
Provider Name (Legal Business Name): DWIJI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2020
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3755 TIMBER CREEK LN
NAPERVILLE IL
60565-3541
US

IV. Provider business mailing address

3755 TIMBER CREEK LN
NAPERVILLE IL
60565-3541
US

V. Phone/Fax

Practice location:
  • Phone: 847-977-5784
  • Fax:
Mailing address:
  • Phone: 847-977-5784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MS. VIPAN SAHNI
Title or Position: PRESIDENT
Credential: NA
Phone: 847-977-5784