Healthcare Provider Details

I. General information

NPI: 1760011258
Provider Name (Legal Business Name): UNITED VISION HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 PEBBLEWOOD LN STE 296
NAPERVILLE IL
60563-8357
US

IV. Provider business mailing address

1620 PEBBLEWOOD LN STE 296
NAPERVILLE IL
60563-8357
US

V. Phone/Fax

Practice location:
  • Phone: 630-449-2186
  • Fax:
Mailing address:
  • Phone: 630-449-2186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NSO NSO
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 331-431-9864